NPIMap

Individual provider Active NPI

Amanda Mason, D.O.

  • Emergency Medicine Physician
  • Hudson, OH
National Provider Identifier
1982830774
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.010520 Issued in OH
Practice address
5700 Darrow Rd Suite 106
Hudson, OH 44236
Phone
(330) 656-5911
NPI assigned
Jun 8, 2009
Last updated
Aug 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.010520 OH Primary

Addresses

Primary practice location

5700 Darrow Rd Suite 106
Hudson, OH 44236

Mailing address

5700 Darrow Rd Suite 106
Hudson, OH 44236
Phone (330) 656-5911

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
I20120621000654 OH Practitioner - Emergency Medicine 8527223619 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahoning Valley Emergency Specialists LLCGroup PAC ID 5698758993, 26 clinicians
Mves Boardman LLCGroup PAC ID 4688694722, 36 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (240) 686-2300

8401 Market St
Boardman, OH 44512-6725
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as group
Quality
97.69
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.8 of 100Reported as group
Quality
79.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
78.7
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.13 of 100Reported as group
Quality
79.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.010520OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
4M Emergency Systems LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Mercy Health Youngstown LLC PastSince Jun 1, 2020 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-6000

5700 Darrow Rd
Ste 106
Hudson, OH 44236
Phone (330) 576-4295

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

1950 Niles Cortland Rd NE
Warren, OH 44484
Phone (234) 600-5752

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • Direct secure messaging: amason60229@direct.bsmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1982830774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-656-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-656-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "AMANDA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.