Woodside Medical Group, Inc. in Mansfield - Medical Specialty
Woodside Medical Group, Inc. - NPI 1821148404
Woodside Medical Group, Inc. is a Medical Specialty in Mansfield, Ohio. Woodside Medical Group, Inc. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Woodside Medical Group, Inc. is 1821148404. The last update date is 2011-10-04.
Woodside Medical Group, Inc.'s current location address is 475 Lexington Ave, Mansfield, Ohio. You can contact this provider via phone number 4197562003 and fax number 4197563637. The mailing address for Woodside Medical Group, Inc. is 475 Lexington Ave, Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woodside Medical Group, Inc. |
|---|---|
| Address | 475 Lexington Ave, Mansfield, Ohio |
| Phone Number | 4197562003 |
| Fax Number | 4197563637 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES |
|---|---|
| Authorized Official Name | Exten Edwin Robert |
| Credentials | MD |
| Telephone Number | 4197562003 |
NPI Number Detail
| NPI Number | 1821148404 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2011-10-04 |
Provider Mailing Address Detail
| Address | 475 Lexington Ave |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449071501 |
| Phone Number | 4197562003 |
| Fax Number | 4197563637 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Woodside Medical Group, Inc.?
The Woodside Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1821148404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Woodside Medical Group, Inc. is geographically located?
The Woodside Medical Group, Inc. is physically situated at the following location: 475 Lexington Ave, Mansfield, OH, 449071501.
What is Woodside Medical Group, Inc.'s area of expertise and its corresponding taxonomy classification?
The Woodside Medical Group, Inc.'s field of specialization is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their areas of practice.
On what date did Woodside Medical Group, Inc. receive its 1821148404 assignment from the Centers for Medicare & Medicaid Services?
The Woodside Medical Group, Inc. was assigned its 1821148404 on 2007-01-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Woodside Medical Group, Inc.'s details last updated?
The information pertaining to the Woodside Medical Group, Inc., including its address, specialty, and other details, was most recently updated on 2011-10-04.