Mason Family Medicine & Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35093867 Issued in OH

Legal business name

MASON FAMILY MEDICINE & ASSOCIATES LLC

Practice address

6394 Thornberry CT
Suite 820
Mason, OH 45040-7810

Phone

(513) 492-8541

Fax

(513) 492-8542

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Machelle Giordon

Title

Credentialing Specialist

Phone

(330) 723-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Marie Dixon, APRN

  • Family Nurse Practitioner
  • Mason, OH
  • NPI 1053883751
  Medicare reassignment NPD
• Ahmed Bayomi, MD

  • Family Medicine Physician
  • Mason, OH
  • NPI 1508071366
  Medicare reassignment

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1487951836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6394 THORNBERRY CT",
            "address_2": "SUITE 820",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407810",
            "telephone_number": "513-492-8541",
            "fax_number": "513-492-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6394 THORNBERRY CT",
            "address_2": "SUITE 820",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407810",
            "telephone_number": "513-492-8541",
            "fax_number": "513-492-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON FAMILY MEDICINE & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "GIORDON",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "330-723-2111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35093867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Dental Care; Daniel S. Hillis, D.M.D., LLC
• Mason Dental Center, Matthew a Corcoran, DDS
• Mason Dermatology Center Inc
• Mason Elite Dentistry
• Mason Eye Center, Inc.
• Mason Group Health, LLC
• Mason Healthcare LLC
• Mason Healthcare LLC
• Mason Medical LLC
• Mason Operator, LLC

• Family Medicine Physician in Mason, OH
• Providers in Mason, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.