# MASON FAMILY MEDICINE & ASSOCIATES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487951836
- **Authorized official:** MACHELLE GIORDON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (330) 723-2111

## Contact information

- **Practice address:** 6394 THORNBERRY CT, SUITE 820, MASON, OH 45040-7810
- **Practice address phone:** (513) 492-8541
- **Practice address fax:** (513) 492-8542
- **Mailing address:** 6394 THORNBERRY CT, SUITE 820, MASON, OH 45040-7810
- **Mailing address phone:** (513) 492-8541
- **Mailing address fax:** (513) 492-8542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35093867 | OH | Yes |

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 04/18/2011