Mahoney Family Medicine

LBN: Mark Thomas Mahoney, D.O., P.C.
Mahoney Family Medicine is an health care organization with primary practice located at 100 College Drive , Martinsville VA 24112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mark Thomas Mahoney, D.O., P.C. can be contacted via phone (276) 666-0500, or through Mahoney, Mark Thomas via phone (276) 666-0500.

Contact Information

Primary practice address
100 College Drive Martinsville VA 24112
Fax: (276) 666-0400
Website:
Authorized official contact:
Name: Mahoney, Mark Thomas Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102201617 Virginia

Profile Details

NPI number 1740227156
LBN Legal business name Mark Thomas Mahoney, D.O., P.C.
DBA Doing business as Mahoney Family Medicine
Authorized official Mahoney, Mark Thomas Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated May 12th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740227156 NPPES
Virginia Other 7547584 AETNA
Virginia Other 610906400 AETNA
Virginia Other 9960505 AETNA
Virginia MEDICAID 010098467 AETNA
Virginia Other 249329 AETNA
Virginia Other 146677 AETNA

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