| Third Street Ob/gyn | |
|
770 Balgreen Drive Suite 207 Mansfield OH 44906-2633 | |
| (419) 522-6800 | |
| (419) 522-6816 |
| Full Name | Third Street Ob/gyn |
|---|---|
| Speciality | Clinic/Center |
| Location | 770 Balgreen Drive, Mansfield, Ohio |
| Authorized Official Name and Position | Peggy Anderson (CEO) |
| Authorized Official Contact | 4195267880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Street Ob/gyn 1404 Park Ave W Ste 2 Mansfield OH 44906-2633 Ph: (419) 522-6191 | Third Street Ob/gyn 770 Balgreen Drive Suite 207 Mansfield OH 44906-2633 Ph: (419) 522-6800 |
| NPI Number | 1649599119 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2365423977 |
|---|---|
| Medicare Enrollment ID | O20040528000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649599119 | NPI | - | NPPES |
| 3111957 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Michelle Judith Lees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235117334 PECOS PAC ID: 0840223319 Enrollment ID: I20050915000011 |
| Provider Name | Lori K Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588741177 PECOS PAC ID: 4880616044 Enrollment ID: I20060103000003 |
| Provider Name | Jessica Rose Brent |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225293020 PECOS PAC ID: 8022157411 Enrollment ID: I20091209000367 |
| Provider Name | Sheng Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073615712 PECOS PAC ID: 3375678279 Enrollment ID: I20100317000601 |
| Provider Name | Colleen R Shaughency |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619123288 PECOS PAC ID: 3678604006 Enrollment ID: I20100629000863 |
| Provider Name | Carolyn Chambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639151715 PECOS PAC ID: 8628975448 Enrollment ID: I20110901000638 |
| Provider Name | David J Etzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881999555 PECOS PAC ID: 0648439315 Enrollment ID: I20120315000669 |
| Provider Name | Ophelia Ramirez Mailloux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710106984 PECOS PAC ID: 4486801701 Enrollment ID: I20120821000972 |
| Provider Name | Cristina P Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861774929 PECOS PAC ID: 0648419069 Enrollment ID: I20130615000161 |
| Provider Name | Jodi Lynn Swihart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306139084 PECOS PAC ID: 2062632573 Enrollment ID: I20141006001152 |
| Provider Name | Tonia N Studer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457733867 PECOS PAC ID: 1850603812 Enrollment ID: I20150702002604 |
| Provider Name | Amanda Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003290206 PECOS PAC ID: 0941514053 Enrollment ID: I20150803002727 |
| Provider Name | Tabatha Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568832343 PECOS PAC ID: 7315256856 Enrollment ID: I20151022002179 |
| Provider Name | Melissa Lynn Verchio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841580511 PECOS PAC ID: 3870890692 Enrollment ID: I20160322002451 |
| Provider Name | Carlos Molina Arriola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437578804 PECOS PAC ID: 3274825351 Enrollment ID: I20180918003626 |
| Provider Name | Nathan Allan Braden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396231247 PECOS PAC ID: 4082958277 Enrollment ID: I20181128002317 |
| Provider Name | Paula Ann Severns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013484351 PECOS PAC ID: 6103162565 Enrollment ID: I20190107002603 |
| Provider Name | Heather L Mosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017038 PECOS PAC ID: 7113291691 Enrollment ID: I20190124002729 |
| Provider Name | Latonia Feagin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285118422 PECOS PAC ID: 0143551234 Enrollment ID: I20191003001085 |
| Provider Name | Amber Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629629753 PECOS PAC ID: 9436123627 Enrollment ID: I20191122001926 |
| Provider Name | Kendra Leigh Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356997894 PECOS PAC ID: 9032544200 Enrollment ID: I20200115003379 |
| Provider Name | Cindy Renee Viers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922624774 PECOS PAC ID: 5395160279 Enrollment ID: I20200810001674 |
| Provider Name | Malaika Rochelle Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932704848 PECOS PAC ID: 3274949458 Enrollment ID: I20210312002007 |
| Provider Name | Melissa Ann Gushard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225539463 PECOS PAC ID: 8527457472 Enrollment ID: I20211115000877 |
| Provider Name | Myles Spar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013028307 PECOS PAC ID: 3072597327 Enrollment ID: I20230203001761 |
| Provider Name | Jamie Lynn Pelfrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730771593 PECOS PAC ID: 3678947801 Enrollment ID: I20230329002659 |
| Provider Name | Christopher Todd Yohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063945533 PECOS PAC ID: 2668894650 Enrollment ID: I20230901002609 |
| Provider Name | Brianna Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003594623 PECOS PAC ID: 9537514963 Enrollment ID: I20231004003695 |
Ohio Eye Associates Eye Surgery & Laser Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 466 S Trimble Rd, Mansfield, OH 44906 Phone: 419-756-8000 Fax: 419-756-7100 | |
Richland Internists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2293 Village Mall Drive, Mansfield, OH 44906 Phone: 419-747-3400 Fax: 419-747-3408 | |
William Scott Ballinger,m.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 Balgreen Dr, Suite 203, Mansfield, OH 44906 Phone: 419-756-6366 Fax: 419-756-5549 | |
Mansfield Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Blymyer Ave, Mansfield, OH 44903 Phone: 419-524-2212 Fax: 419-524-9040 | |
Melissa Becker, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Park Ave E, Mansfield, OH 44905 Phone: 419-522-0948 Fax: 419-526-7347 | |
Patrick Furness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Park Ave E, Mansfield, OH 44905 Phone: 419-522-0948 Fax: 419-526-7347 | |
Davis Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Marion Ave, Mansfield, OH 44903 Phone: 419-756-7500 Fax: 419-525-0001 |