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MARK L MASON OD. LLC NPI 1508263120


NPI Information

NPI: 1508263120
Provider Name: MARK L MASON OD., LLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
907 SCHNEIDER ST SE
NORTH CANTON, OH
ZIP 44720
Phone: (330) 499-1494
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MARK L MASON OD., LLC is a preferred provider organization in North Canton, OH. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MARK L MASON OD., LLC NPI is 1508263120. The provider is registered as an organization entity type.

The provider's business location address is:

907 SCHNEIDER ST SE
NORTH CANTON, OH
ZIP 44720-774
Phone: (330) 499-1494
Fax: (330) 499-3744

The provider's authorized official is Kim J Wahl .
The authorized official title is Clerical and has the following contact phone number (330) 499-1494.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization4574OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U52457MEDICARE UPINOHIO
21196470001MEDICARE NSCOHIO
30997917MEDICAIDOHIO
40770561MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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