Mark L Mason Od., LLC
NPI 1508263120ActiveOrganization· Preferred Provider Organization· North Canton, OH
Preferred Provider Organization in North Canton, Ohio, registered in NPPES in November 2014. The authorized official on file is Kim J. Wahl, Clerical. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508263120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2014 |
| Last updated in NPPES | Nov 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 4574 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|