Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mansfield Family Practice

Organization Family Medicine Physician · NPI 1104823889

Mansfield Family Practice is a Family Medicine Physician in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005

Practice location Address checks out

248 Blymyer Ave
Mansfield, OH 44903-2306
Phone: (419) 524-2212
Fax: (419) 524-9040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (OH)

Record details

NPI number1104823889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Gardner — Partner · (419) 524-2212
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 21, 2022
Mailing address248 Blymyer Ave, Mansfield, OH 44903-2306

Other providers in Mansfield