DR. JEREMY JAMES MASHBURN (NPI# 1285945311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285945311 |
| Entity Type | Individual |
| Full Name | DR. JEREMY JAMES MASHBURN |
| Credential | D.O. |
| Practice Address |
1100 Neal Zick Rd Willard OH 44890-9287 |
| Mailing Address |
2200 Jefferson Ave 4th Floor - Credentialing Department Toledo OH 43604-7101 |
| Practice Telephone | 4199332811 |
| Practice Fax Number | 4199334502 |
| Mailing Telephone | 4192511963 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2014-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34.011238 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 25MB09234200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 260856 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO MEDICAL LICENSE | 34.011238 | 01 |
| OH | PENDING | 05 |
| Street Address |
1100 NEAL ZICK RD |
| City | WILLARD |
| State | OH |
| Zip Code | 44890-9287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453746 | Gregory S. Vigesaa | Internal Medicine | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2005-08-09 |
| 1467078097 | Orthopaedic Institute of Ohio, Inc | Durable Medical Equipment & Medical Supplies | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2020-06-19 |
| 1689220212 | Jill Palmerton | Counselor | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2019-08-09 |
| 1467950667 | Alice Marie Frazier-snook | Social Worker | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2018-01-23 |
| 1528509486 | Joshua Joel Olewiler | Family Medicine | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2017-03-12 |
| 1164880613 | Checker Emergency Physicians, LLC | Physician Assistant | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2016-01-29 |
| 1346607306 | Matthew Aaron Clingman | Nurse Practitioner | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2016-01-21 |
| 1679978001 | Wendy Williams | Nurse Practitioner | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2014-10-28 |
| 1871934604 | Susan M Krebs | Nurse Practitioner | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2013-07-09 |
| 1164777843 | City of Blossoms Inpatient Services LLC | Emergency Medicine | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932552924 | Ohio Hearing & Vision Professionals, LLC | Hearing Instrument Specialist | 421 A E. Walton St., Willard, OH 44890 | 2016-07-14 |
| 1861641417 | Mercy Health System-northern Region | Obstetrics & Gynecology | 1506 S Conwell Ave, Willard, OH 44890 | 2008-09-18 |
| 1538334404 | Paula Joan Hodge | Physical Therapy Assistant | 725 Wessor Ave, Willard, OH 44890 | 2008-04-23 |
| 1477753960 | Willard Board of Education | Local Education Agency (LEA) | 955 S. Main Street, Willard, OH 44890 | 2007-07-23 |
| 1366504375 | Liberty Nursing Center Willard | Skilled Nursing Facility | 370 E Howard, Willard, OH 44890 | 2006-12-15 |
| 1558438812 | Michele Ann Carrick | Licensed Practical Nurse | 4095 Townline Rd 12, Willard, OH 44890 | 2006-11-29 |
| 1740351527 | Sherri Lynnette Mullins | Registered Nurse | 4515 Us Rt 224 West, Willard, OH 44890 | 2006-11-13 |
| 1811987274 | William A. Stamp | Chiropractor | 113 Walton Street, Willard, OH 44890 | 2005-10-26 |
| 1861494478 | Robert W Secor | Family Medicine | 1100 Neal Zick Road, Willard, OH 44890 | 2005-08-12 |
| 1851823330 | Willard Eye Care Inc | Optometrist | 320 W Walton St, Willard, OH 44890 | 2017-04-03 |
| Find all providers in zip 44890 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154768448 | Melvin Eugene Curry | Family Medicine | 11073 N State Highway Z, Willard, MO 65781-9626 | 2013-05-28 |
| 1952315905 | Vicki Jean Brown | Family Medicine | 315 Crestwood Dr, Willard, OH 44890-1667 | 2006-07-27 |
| 1144288259 | Jeffrey Eugene Sizemore IIi | Family Medicine | 740 Woodbine St, Willard, OH 44890-1635 | 2006-05-01 |
| 1861494478 | Robert W Secor | Family Medicine | 1100 Neal Zick Road, Willard, OH 44890 | 2005-08-12 |
| 1528509486 | Joshua Joel Olewiler | Family Medicine | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2017-03-12 |
| 1609137694 | Jessica L Yonley | Family Medicine | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2012-06-06 |
| 1396923991 | Willard Area Medical Assoc. | Family Medicine | 740 Woodbine St, Willard, OH 44890-1635 | 2008-02-06 |
| 1245378413 | Alice R. Riedel | Family Medicine | 520 E Jackson St, Willard, MO 65781-9200 | 2007-02-01 |
| 1073687299 | Regional Services | Family Medicine | 304 E Jackson St, #5h, Willard, MO 65781-9333 | 2006-11-20 |
| 1356429286 | Lester E. Cox Medical Centers | Family Medicine | 304 E Jackson St, #b-207, Willard, MO 65781-9333 | 2006-11-01 |
| Find all providers in WILLARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.