Individual provider Active NPI

Mathias George Pamer, D.C.

  • Chiropractor
  • Mansfield, OH
National Provider Identifier
1457407769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2869 Issued in OH
Practice address
300 S Lexington Springmill Rd
Mansfield, OH 44906-1330
Phone
(419) 529-2703
Fax
(419) 529-3984
NPI assigned
Jan 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2869 OH Primary

Addresses

Primary practice location

300 S Lexington Springmill Rd
Mansfield, OH 44906-1330

Mailing address

300 S Lexington Springmill Rd
Mansfield, OH 44906-1330
Phone (419) 529-2703

Other identifiers 1

IdentifierTypeStateIssuer
2160521MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2869OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Community Chiropractic Chiropractor PastSince Apr 28, 2008 Accepting new patients
Lifetime Family Chiropractic Chiropractor PastSince May 1, 2007 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457407769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S LEXINGTON SPRINGMILL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061330",
            "telephone_number": "419-529-2703",
            "fax_number": "419-529-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S LEXINGTON SPRINGMILL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061330",
            "telephone_number": "419-529-2703",
            "fax_number": "419-529-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMER",
        "first_name": "MATHIAS",
        "middle_name": "GEORGE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.