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MELISSA BECKER, LLC
NPI 1114954617
Family Medicine in Mansfield, OH

Active since June 28, 2006CLIA 36D1000270 · Microscopy
661 PARK AVE E, MANSFIELD, OH 44905(419) 522-0948(419) 526-7347 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Melissa Becker, Llc NPPES

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

MELISSA BECKER, LLC (NPI 1114954617) is a healthcare organization registered as a family medicine in Mansfield, Ohio and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through June 5, 2028 and lists Melissa Becker, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1114954617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMELISSA BECKER, LLC
Location Address661 PARK AVE EMansfield, OH 44905-2880
Mailing Address661 Park Ave EMansfield, OH 44905-2880 · (419) 522-0948 · Fax (419) 526-7347
Phone(419) 522-0948
Fax(419) 526-7347
Organization SubpartNo
Authorized OfficialMelissa BeckerMedical Doctor · (419) 522-0948
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114954617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35079962B
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.
661 PARK AVE E, Mansfield, OH 44905
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Other Identifiers 1

Medicaid2283461OH

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1000270

Melissa Becker MD LLC · Ontario, OH
Active · expires Jun 5, 2028
CLIA Number36D1000270
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorMelissa M. Becker MD
Laboratory Phone(419) 522-0948
Laboratory LocationMelissa Becker MD LLC715 Richland Mall Suite A, Ontario, OH 44906
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

PANCHARATHNA K ATHMARAM MD
Internal Medicine
661 PARK AVE E, SUITE A
MANSFIELD, OH 44905
Richland County (419) 526-3999
PATRICK FURNESS, LLC
Family Medicine
661 PARK AVE E
MANSFIELD, OH 44905
Richland County (419) 522-0948

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 Melissa Becker, LLC's NPI number?

The NPI number for Melissa Becker, LLC is 1114954617. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Melissa Becker, LLC located?

Melissa Becker, LLC is located at 661 Park Ave E, Mansfield, OH 44905. The listed phone number is (419) 522-0948.

What is Melissa Becker, LLC's specialty?

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

Does Melissa Becker, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1000270) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Melissa Becker, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.