MANSFIELD FAMILY PRACTICE
NPI 1104823889
Family Medicine in Mansfield, OH

Active since July 07, 2005
248 BLYMYER AVE, MANSFIELD, OH 44903(419) 524-2212(419) 524-9040 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Mansfield Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANSFIELD FAMILY PRACTICE (NPI 1104823889) is a healthcare organization registered as a family medicine in Mansfield, Ohio and active in the NPI registry since July 2005. The organization lists Raymond John Gardner, Partner, as its authorized official.

NPPES Registry Identity

NPI1104823889
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANSFIELD FAMILY PRACTICE
Location Address248 BLYMYER AVEMansfield, OH 44903-2306
Mailing Address248 Blymyer AveMansfield, OH 44903-2306 · (419) 524-2212 · Fax (419) 524-9040
Fax(419) 524-9040
Organization SubpartNo
Authorized OfficialRaymond John GardnerPartner · (419) 524-2212
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1104823889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
248 BLYMYER AVE, Mansfield, OH 44903

Other Identifiers 1

Medicaid2261234OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
248 BLYMYER AVE
MANSFIELD, OH 44903
Family Medicine
248 BLYMYER AVE
MANSFIELD, OH 44903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mansfield Family Practice's NPI number?

The NPI number for Mansfield Family Practice is 1104823889. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Mansfield Family Practice located?

Mansfield Family Practice is located at 248 Blymyer Ave, Mansfield, OH 44903. The listed phone number is (419) 524-2212.

What is Mansfield Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mansfield Family Practice was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.