Mason Family Health Center LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

35-097039 Issued in OH

Legal business name

MASON FAMILY HEALTH CENTER LLC

Practice address

7808 Derbyshire CT
Liberty Township, OH 45044-9049

Phone

(513) 204-2883

Fax

(513) 847-6317

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Jignesh Patel, MD

Title

Physician

Phone

(513) 827-8700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484352000000",
    "number": "1902152366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 DERBYSHIRE CT",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449049",
            "telephone_number": "513-204-2883",
            "fax_number": "513-847-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 DERBYSHIRE CT",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449049",
            "telephone_number": "513-204-2883",
            "fax_number": "513-847-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON FAMILY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2017-01-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-827-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35-097039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonda Adair Malik, MT-BC
• Andrea Mallory, LISW
• Emilee R Marsh, COTA/L, MSW, LSW
• Bradley T Martin, MD
• Donna Martinsen
• Shannon M Mattingly
• Caroline Mbwesa
• Christina McClain, L.P.N.
• Emmanuel McClellan
• Hannah McClellan

• Geriatric Medicine (Family Medicine) Physician in Liberty Township, OH
• Providers in Liberty Township, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.