NPIMap

Individual provider Active NPI

Mark R Brown, D.O.

  • Family Medicine Physician
  • St Henry, OH
National Provider Identifier
1982604880
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34 005329 Issued in OH
Practice address
442 Stachler Dr
St Henry, OH 45883-9582
Phone
(419) 678-2371
Fax
(419) 678-4783
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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 34 005329 OH Primary

Addresses

Primary practice location

442 Stachler Dr
St Henry, OH 45883-9582

Mailing address

442 Stachler Dr
P.O. Box 308
St Henry, OH 45883-9582
Phone (419) 678-2371

Other identifiers 3

IdentifierTypeStateIssuer
0931782MedicaidOH
0234455OtherOHMEDICAID GROUP
9282991OtherOHMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000720 OH Practitioner - Family Practice 3375673072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio Medical University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M E D F Physicians Corporation 47 clinicians

Practice addresses (Care Compare)

442 Stachler Dr
Saint Henry, OH 45883-9582
Phone (419) 678-2371

Hospital & facility affiliations

  • Mercer Health Home Care Home health agency, Celina, OH, CCN 367089
  • Community Health Professionals, Inc Home health agency, Van Wert, OH, CCN 367131
  • Everheart Hospice Hospice, Greenville, OH, CCN 361529
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34 005329OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer County Joint Township Community Hospital CurrentSince Feb 1, 2012 Accepting new patients
M E D F Physicians Corporation Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Feb 1, 2012 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

1830 Union City Rd
Fort Recovery, OH 45846
Phone (419) 375-4144

442 Stachler Dr
Saint Henry, OH 45883
Phone (419) 678-2246

Interoperability endpoints

  • Direct secure messaging: mbrown442279@direct.osumc.edu

Organizations & group practices 5

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 4

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1982604880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 STACHLER DR",
            "address_2": "P.O. BOX 308",
            "city": "ST HENRY",
            "state": "OH",
            "postal_code": "458839582",
            "telephone_number": "419-678-2371",
            "fax_number": "419-678-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 STACHLER DR",
            "city": "ST HENRY",
            "state": "OH",
            "postal_code": "458839582",
            "telephone_number": "419-678-2371",
            "fax_number": "419-678-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34 005329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0931782",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0234455",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9282991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Henry, OH

Sources for this page

Verify at the official NPI Registry.