MANSFIELD IMAGING CENTER LLC (NPI# 1821141102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821141102 |
| Entity Type | Organization |
| Organization Name | MANSFIELD IMAGING CENTER LLC |
| Practice Address |
536 S Trimble Rd Suite A Mansfield OH 44906-3418 |
| Practice Telephone | 4197749729 |
| Practice Fax Number | 4197740006 |
| Mailing Telephone | 4197749729 |
| Mailing Fax Number | 4197740006 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MR. JOHN COX (BUSINESS MANAGER) |
| Authorized Official Telephone | 4195223400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE | P00070031 | 01 |
| OH | 2500494 | 05 |
| Street Address |
536 S TRIMBLE RD SUITE A |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679534077 | Mansfield Orthopaedic Surgery & Rheumatology Inc | Internal Medicine | 536 S Trimble Rd, Mansfield, OH 44906 | 2006-03-28 |
| 1851840052 | Lauren Durinka | Audiologist | 536 S Trimble Rd, Mansfield, OH 44906-3418 | 2016-09-28 |
| 1689077711 | Lisa Rae Parker | Specialist/Technologist | 536 S Trimble Rd, Mansfield, OH 44906-3418 | 2014-10-03 |
| 1114200565 | Jill S Vidrine | Physician Assistant | 536 S Trimble Rd, Mansfield, OH 44906-3418 | 2011-09-22 |
| 1942335708 | Ann Denise Mckinley | Physical Therapist | 536 S Trimble Rd, Mansfield, OH 44906-3418 | 2007-02-22 |
| 1144368846 | Rebecca Sue Bellamy | Physical Therapist | 536 S Trimble Rd, Mansfield, OH 44906-3418 | 2007-02-02 |
| 1326009945 | Lawrence L Gibson | Orthopaedic Surgery | 536 S Trimble Rd, Mansfield, OH 44906-3418 | 2006-03-31 |
| 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 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743191 | Envision Radiology of Texas Lp | Clinic/Center | 710 Hunters Row Ct, Mansfield, TX 76063-4001 | 2005-07-14 |
| 1497198147 | Elite View Imaging, LLC | Clinic/Center | 1750 Broad Park Cir S, Suite 300, Mansfield, TX 76063-7832 | 2013-04-12 |
| 1467782052 | Broad Park Imaging, LLC | Clinic/Center | 1750 Broad Park Cir S, Suite 300, Mansfield, TX 76063-7832 | 2010-01-05 |
| 1457566853 | Mansfield Regional Imaging Consultants Corporation | Clinic/Center | 1456 Park Ave W Ste M, Mansfield, OH 44906-2700 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121521 | Executive Imaging, LLC | Clinic/Center | 1069 Delaware Ave Ste 104, Marion, OH 43302-6459 | 2020-07-21 |
| 1912532904 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 26151 Euclid Ave Ste 130, Euclid, OH 44132-3300 | 2020-03-10 |
| 1326510868 | Genetesis, Inc. | Clinic/Center | 5412 Courseview Dr Ste 150, Mason, OH 45040-2483 | 2018-12-21 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1710417605 | B&d Radiology Partners Pllc | Clinic/Center | 452 Ashsteade Ln, Cincinnati, OH 45255-3710 | 2017-06-14 |
| 1235671710 | Citran Xray LLC | Clinic/Center | 7774 Dayton Springfield Road, Fairborn, OH 45324-1996 | 2016-11-15 |
| 1598163164 | Fostoria Hospital Association | Clinic/Center | 455 W 4th St Ste 30, Fostoria, OH 44830-1864 | 2014-12-15 |
| 1487991360 | Birchcrest Holdings, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Cleveland, OH 44130 | 2013-01-11 |
| 1487922548 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 2800 Hayes Ave # Bdlgc130, Sandusky, OH 44870 | 2011-12-05 |
| 1164726360 | Birchcrest Holdings, LLC | Clinic/Center | 4760 Richmond Rd Ste 300, Cleveland, OH 44128 | 2011-01-03 |
| Find all providers with the same taxonomy | ||||
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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.