Individual provider Active NPI

Antoine Said Munther, M.D.

  • Surgery Physician
  • Mansfield, OH
National Provider Identifier
1740267798
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-066095 Issued in OH
Practice address
215 Wood St
Mansfield, OH 44903-2260
Phone
(419) 522-2833
Fax
(419) 524-1619
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-066095 OH Primary
Surgical Oncology Physician 2086X0206X 35-066095 OH

Addresses

Primary practice location

215 Wood St
Mansfield, OH 44903-2260

Mailing address

1726 Bowers Rd
Mansfield, OH 44903-9442
Phone (419) 884-8807

Other identifiers 2

IdentifierTypeStateIssuer
000000130381OtherOHANTHEM
0173486MedicaidOH

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
I20100419000152 OH Practitioner - General Surgery 7810024106 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 15, 2014 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 15, 2014 Accepting new patients
Richland Surgical Associates Inc Surgery Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5350 Frantz Rd
Dublin, OH 43016

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

215 Wood St
Mansfield, OH 44903
Phone (419) 522-2833

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1740267798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 BOWERS RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039442",
            "telephone_number": "419-884-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WOOD ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032260",
            "telephone_number": "419-522-2833",
            "fax_number": "419-524-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTHER",
        "first_name": "ANTOINE",
        "middle_name": "SAID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-066095",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OH",
            "license": "35-066095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000130381",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173486",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.