Active NPI
Laura S Mason, MD
- Pediatrics Physician
- Chardon, OH
National Provider Identifier
1518065580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-072805
- Practice address
- 13241 Ravenna Rd Ste a
Chardon, OH 44024-9012 - Phone
- (440) 285-9166
- Fax
- (440) 285-1806
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 35-072805 | OH | |
| Pediatrics Physician | 208000000X | 35-072805 | OH | Primary |
Addresses
Primary practice location
13241 Ravenna Rd Ste a
Chardon, OH 44024-9012
Mailing address
24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 285-9166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2613907 | Other | OH | BCMH |
| 2613907 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lauramason@uhps.allscriptsdirect.net |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-072805 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Past | Accepting new patients | |
| University Primary Care Practices | Pediatrics | Past | Accepting new patients |
| University Primary Care Practices Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lmason37164@ehrdirect.uhhospitals.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
-
dba UPCP Inc
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1154375681
Pediatrics
-
dba UH North Olmsted Urgent Care
- Urgent Care Clinic/Center
- North Olmsted, OH
- NPI 1467533885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1518065580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "THIRD FLOOR BILLING SERVICES",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "440-285-9166",
"fax_number": "440-285-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13241 RAVENNA RD STE A",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249012",
"telephone_number": "440-285-9166",
"fax_number": "440-285-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "LAURA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "OH",
"license": "35-072805",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-072805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "2613907",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2613907",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lauramason@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "13241 Ravenna Rd Ste A",
"city": "Chardon",
"state": "OH",
"country_code": "US",
"postal_code": "440249012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.