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Bethany C Gordon

Homemaker β€’ Mansfield, OH

Active NPI 1720687833 Individual Practitioner Female Practitioner
Practice location in NPPES

2528 Haviland Ct
Mansfield, OH 449036928

Call 4195656575 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2528 Haviland Ct

Mansfield, OH 449036928

Telephone 4195656575

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mansfield and Ohio

116 active clinicians are listed under Homemaker with a practice address in Mansfield, OH (6,879 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mansfield

0% of these 116 clinicians have the CMS telehealth indicator.

0% of these 116 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-23
Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Private Vehicle

NUCC Taxonomy Code: 347C00000X

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 23, 2023

Registered at 2528 HAVILAND CT, MANSFIELD, OH 449036928 (Tel: 4195656575)

πŸ“
Updated Business Mailing Address October 23, 2023

Registered at 2528 HAVILAND CT, MANSFIELD, OH 449036928 (Tel: 4195656575)

πŸ‘€
Provider Name / Credentials Updated October 23, 2023

Recorded as BETHANY GORDON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2020

Private Vehicle

βœ…
NPI Profile Active October 20, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 20, 2020

Registered at 1015 TAYLOR RD, MANSFIELD, OH 449037683 (Tel: 4195656575)

πŸ“
Business Mailing Address (Initial Record) October 20, 2020

Registered at 1015 TAYLOR RD, MANSFIELD, OH 449037683 (Tel: 4195656575)

πŸ‘€
Provider Name / Credentials (Initial Record) October 20, 2020

Recorded as BETHANY EAGLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 20, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720687833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2020
Last Update: October 23, 2023
Sole Proprietor: Yes

Mailing Address

2528 Haviland Ct

Mansfield, OH 449036928

Phone: 4195656575

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.