WOODSIDE MEDICAL GROUP, INC. – Medical Specialty Clinic/Center, NPI 1821148404

WOODSIDE MEDICAL GROUP, INC. is a healthcare provider. based in Mansfield, Ohio. specializing in Medical Specialty Clinic/Center. The NPI Number for WOODSIDE MEDICAL GROUP, INC. is 1821148404

Main info

Organization
Name
WOODSIDE MEDICAL GROUP, INC.
NPI
1821148404
Phone
(419) 756-2003
Address
475 LEXINGTON AVE
Authorized Official
DR. ROBERT EDWIN EXTEN JR. PRES MD
Enumeration Date
12 January 2007
Last Update Date
4 October 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for WOODSIDE MEDICAL GROUP, INC.

  • 475, Lexington Avenue, Mansfield, Richland County, Ohio, 44907, United States

    MANSFIELD, OH 449071501

    Phone: (419) 756-2003

    Fax: (419) 756-3637

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44907)

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Reviews

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Frequently asked questions

What federal number belongs to WOODSIDE MEDICAL GROUP, INC.?
The federal identifier for WOODSIDE MEDICAL GROUP, INC. is NPI 1821148404.
Is WOODSIDE MEDICAL GROUP, INC.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize WOODSIDE MEDICAL GROUP, INC.'s specialty in plain language?
Clinically, the directory lists WOODSIDE MEDICAL GROUP, INC. with Medical Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What location shows for WOODSIDE MEDICAL GROUP, INC.?
We surface Mansfield, Ohio for WOODSIDE MEDICAL GROUP, INC. based on available NPPES addresses.
How can I contact WOODSIDE MEDICAL GROUP, INC.?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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