MANSFIELD PEDIATRICS INC (NPI# 1144391244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144391244 |
| Entity Type | Organization |
| Organization Name | MANSFIELD PEDIATRICS INC |
| Practice Address |
770 Balgreen Dr Ste 101 Mansfield OH 44906-4106 |
| Practice Telephone | 4195223341 |
| Practice Fax Number | 4195221110 |
| Mailing Telephone | 4195223341 |
| Mailing Fax Number | 4195221110 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2011-04-08 |
| Authorized Official Name | ROBERT D BURNS (PRESIDENT) |
| Authorized Official Telephone | 4195223341 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0230226 | 05 |
| Street Address |
770 BALGREEN DR STE 101 |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366558520 | Rita Roantree Foley | Physician Assistant | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-08-21 |
| 1164951984 | Brittany Bayer | Nurse Practitioner | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2017-06-06 |
| 1124484936 | Kieyra Irene Thrush | Nurse Practitioner | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2016-01-08 |
| 1386865566 | Melisa Jo Oberdier | Nurse Practitioner | 770 Balgreen Dr Ste 101, Mansfield, OH 44906 | 2007-05-02 |
| 1467673962 | Janet Louise Boeckman | Nurse Practitioner | 770 Balgreen Dr Ste 101, Mansfield, OH 44906 | 2007-05-01 |
| 1194896290 | Robert David Burns | Pediatrics | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-11-11 |
| 1427129527 | Celia Jane Flinn | Pediatrics | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-11-11 |
| 1619048717 | Jennifer Lynn Andrews | Pediatrics | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-11-11 |
| 1881765980 | Mark Mccleery Redding | Pediatrics | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-11-11 |
| 1720159825 | Erin Beirne Fain | Pediatrics | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1891055117 | Rebecca J Nduaguba | Pediatrics | 1029 S Trimble Rd, Mansfield, OH 44906-3427 | 2012-05-21 |
| 1396952263 | Erin Elizabeth Wallace | Pediatrics | 252 Matlock Rd Ste 330, Mansfield, TX 76063-4294 | 2007-05-17 |
| 1992917702 | Arlington Physicians, P.a. | Pediatrics | 706 Hunters Row Ct, Mansfield, TX 76063-4001 | 2007-05-04 |
| 1497892061 | Chandra R. Shaker | Pediatrics | 120 Sturges Ave Ste 1, Mansfield, OH 44903-2399 | 2007-01-31 |
| 1275689788 | Colleen J Mckinney | Pediatrics | 540 S Trimble Rd, Mansfield, OH 44906-3418 | 2007-01-26 |
| 1811096696 | Gretchen R Prater | Pediatrics | 2140 Fm 157 North, Mansfield, TX 76063-4847 | 2006-09-21 |
| 1235245895 | Linda K Phan | Pediatrics | 252 Matlock Rd Ste 300, Mansfield, TX 76063-4294 | 2006-08-23 |
| 1376550244 | Marcia T Sampson Md Pa | Pediatrics | 2140 Fm 157 N, Mansfield, TX 76031 | 2006-08-02 |
| 1407821655 | Kerstin Ann Archer | Pediatrics | 2140 Highway 157 N, Mansfield, TX 76063-4847 | 2006-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.