Mark Thomas Mahoney, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102201617 Issued in VA

Legal business name

MARK THOMAS MAHONEY, D.O., P.C.

Doing business as

Mahoney Family Medicine

Practice address

100 College Drive
Martinsville, VA 24112

Phone

(276) 666-0500

Fax

(276) 666-0400

NPI assigned

Jun 2, 2006

Last updated

May 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Thomas Mahoney, D.O.NPI 1689863615

Title

Director

Phone

(276) 666-0500

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• MAHONEY FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol A Henderson

  • Professional Counselor
  • Rocky Mount, VA
  • NPI 1710331822
  Medicare reassignment NPD (past)
• Kelly Dawn Short, FNP

  • Family Nurse Practitioner
  • Martinsville, VA
  • NPI 1609539444
  Medicare reassignment NPD (past)
• Mark T Mahoney, D.O.

  • Family Medicine Physician
  • Martinsville, VA
  • NPI 1689863615
  Authorized official Same address or phone

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1740227156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE DRIVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-666-0500",
            "fax_number": "276-666-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE DRIVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-666-0500",
            "fax_number": "276-666-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK THOMAS MAHONEY, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "276-666-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010098467",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7547584",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP-DOL",
            "identifier": "610906400",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "249329",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9960505",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "146677",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAHONEY FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Frank Mallinak, DDS
• Benjamin Lowell Mann, PA
• Peter J Mannen, PA-C
• Mark a. Crabtree DDS, LTD.
• Mark T Mahoney DO PC
• Celeisha Martin, FNP-C
• Jennifer L Martin
• Julie G. Martin, P.T.
• Laquinta Martin
• Lasandra Martin

• Family Medicine Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.