OrganizationActive
Medcentral Professional Foundation, LLC
NPI 1841476942 · Facial Plastic Surgery Physician · Mansfield, OH
Provider details
- NPI number
- 1841476942
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Chamberlain, Ceo/Cfo(419) 526-8000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
308 Glessner Avenue
Mansfield, OH 44903-2269
Phone: (419) 526-8962
Fax: (419) 526-8834
Approximate (ZIP-level) locationGet directions
Mailing address
335 Glessner Ave
Mansfield, OH 44903-2269
Registry dates
- Enumerated
- 2008-01-18
- Last updated
- 2013-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.