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MANSFIELD PLASTIC SURGERY, LLC
NPI 1417191636
Clinic/Center - Medical Specialty in Mansfield, OH

Active since May 01, 2009
370 CLINE AVE, MANSFIELD, OH 44907(419) 756-1125(419) 756-1825 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mansfield Plastic Surgery, Llc NPPES

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

MANSFIELD PLASTIC SURGERY, LLC (NPI 1417191636) is a healthcare organization registered as a medical specialty in Mansfield, Ohio and active in the NPI registry since May 2009. The organization lists Rafael E. Villalobos, Owner, as its authorized official.

NPPES Registry Identity

NPI1417191636
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMANSFIELD PLASTIC SURGERY, LLC
Location Address370 CLINE AVEMansfield, OH 44907-1057
Mailing Address370 Cline AveMansfield, OH 44907-1057 · (419) 756-1125 · Fax (419) 756-1825
Phone(419) 756-1125
Fax(419) 756-1825
Organization SubpartNo
Authorized OfficialRafael E. VillalobosOwner · (419) 756-1125
Enumeration DateMay 1, 2009
✔ NPI 1417191636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OH · 34005536
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
370 CLINE AVE, Mansfield, OH 44907
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Other Providers at the Same Location NPPES 20

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

JORGE J BERGESE MD
Plastic Surgery
370 CLINE AVE
MANSFIELD, OH 44907
Richland County (419) 756-1125
DR. UCHENNA A EZIKE M.D
Internal Medicine (Infectious Disease)
370 CLINE AVE
MANSFIELD, OH 44907
Richland County (419) 709-9597
CHRISTINE M JUDSON RN CNP
Nurse Practitioner (Adult Health)
370 CLINE AVE, #B3
MANSFIELD, OH 44907
Richland County (419) 756-9995
DR. DINA LYNN AMBROSE DDS
Dentist (General Practice)
370 CLINE AVE
MANSFIELD, OH 44907
Richland County (419) 756-0111
MRS. NANCY HELEN CALHOUN ANP
Nurse Practitioner (Adult Health)
370 CLINE AVE
MANSFIELD, OH 44907
Richland County (419) 775-0042
SUSHIL M SETHI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
370 CLINE AVE
MANSFIELD, OH 44907
Richland County (419) 756-4010
MS. ANNA M COOK PA-C
Physician Assistant (Surgical)
370 CLINE AVE
MANSFIELD, OH 44907
Richland County (419) 756-0011
JORGE J. BERGESE, MD INC.
Plastic Surgery
370 CLINE AVE
MANSFIELD, OH 44907
Richland County (419) 756-1125

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 Plastic Surgery, LLC's NPI number?

The NPI number for Mansfield Plastic Surgery, LLC is 1417191636. It was assigned to this organization in the NPPES registry on May 1, 2009.

Where is Mansfield Plastic Surgery, LLC located?

Mansfield Plastic Surgery, LLC is located at 370 Cline Ave, Mansfield, OH 44907. The listed phone number is (419) 756-1125.

What is Mansfield Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Mansfield Plastic Surgery, LLC was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.