Active NPI
Mansfield Orthopaedic Surgery & Rheumatology Inc
- Orthopaedic Surgery Physician
- Mansfield, OH
National Provider Identifier
1679534077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MANSFIELD ORTHOPAEDIC SURGERY & RHEUMATOLOGY INC
- Practice address
- 536 S Trimble Rd
Mansfield, OH 44906 - Phone
- (419) 756-8899
- Fax
- (419) 756-6004
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence L Gibson, MD
- Title
- President
- Phone
- (419) 756-8899
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
536 S Trimble Rd
Mansfield, OH 44906
Mailing address
536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8899
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC2406 | Other | OH | RAILROAD MEDICARE |
| 000000295361 | Other | OH | ANTHEM |
| 0326552 | Medicaid | OH |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Mansfield, OH
- NPI 1659332054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1679534077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 S TRIMBLE RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44906",
"telephone_number": "419-756-8899",
"fax_number": "419-756-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 S TRIMBLE RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44906",
"telephone_number": "419-756-8899",
"fax_number": "419-756-6004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANSFIELD ORTHOPAEDIC SURGERY & RHEUMATOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-756-8899",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC2406",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000295361",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0326552",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
- Mansfield Living Center, LTD
- Mansfield Memorial Homes, Inc
- Mansfield Neurology Inc
- Mansfield Obstetrics & Gynecology Associates Inc
- Mansfield Opco, LLC
- Mansfield Orthotic and Prosthetic Center, Inc.
- Mansfield Pain Clinic LLC
- Mansfield Pediatric Therapy
- Mansfield Pediatrics Inc
- Mansfield Plastic Surgery, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.