Individual provider Active NPI

Raymond Gregory Mason, MD

  • Family Medicine Physician
  • Wooster, OH
National Provider Identifier
1609874403
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35077914M Issued in OH
Practice address
128 E Milltown Rd
Suite 205
Wooster, OH 44691-6109
Phone
(330) 345-2008
Fax
(330) 345-0056
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35077914M OH Primary

Addresses

Primary practice location

128 E Milltown Rd
Suite 205
Wooster, OH 44691-6109

Mailing address

3242 McCoy Rd
Wooster, OH 44691-8904
Phone (330) 263-0580

Other identifiers 1

IdentifierTypeStateIssuer
2211645MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100510000066 OH Practitioner - Family Practice 3274565445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Professional Care, LLCGroup PAC ID 7416857198, 53 clinicians

Practice addresses (Care Compare)

1330 Mercy Dr NW
Canton, OH 44708-2625

1330 Mercy Dr NW
Suite 101
Canton, OH 44708-2624
Phone (330) 588-4676

2935 Lincoln Way NW
Massillon, OH 44647-5203
Phone (330) 236-2285

Hospital & facility affiliations

  • Mercy Medical Center Home Health & Hospice LLC Home health agency, Canton, OH, CCN 367256
  • Advantage Home Health Services, Inc Home health agency, North Canton, OH, CCN 368248
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Aultman Hospital Hospital, Canton, OH, CCN 360084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35077914MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Mar 13, 2018 Accepting new patients
Mercy Professional Care, LLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients

Locations

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

2935 Lincoln Way NW
Massillon, OH 44647
Phone (330) 236-2285

1031 W High Ave
New Philadelphia, OH 44663
Phone (330) 365-5100

2638 Easton St NE
North Canton, OH 44721
Phone (330) 493-8580

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1609874403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 MCCOY RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918904",
            "telephone_number": "330-263-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E MILLTOWN RD",
            "address_2": "SUITE 205",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446916109",
            "telephone_number": "330-345-2008",
            "fax_number": "330-345-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "RAYMOND",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077914M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.