DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1013942101

NPI Code Detail

MEDICARE: MAYFIELD CLINIC INC

MEDICARE: MAYFIELD CLINIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	363L00000X	Nurse Practitioner
3	2081P0004X	Spinal Cord Injury Medicine Physician
4	363A00000X	Physician Assistant
5	363LA2100X	Acute Care Nurse Practitioner
6	363AS0400X	Surgical Physician Assistant
7	207RP1001X	Pulmonary Disease Physician
8	207L00000X	Anesthesiology Physician
9	208100000X	Physical Medicine & Rehabilitation Physician
10	208VP0014X	Interventional Pain Medicine Physician
11	207LP2900X	Pain Medicine (Anesthesiology) Physician
12	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
13	207XS0117X	Orthopaedic Surgery of the Spine Physician
14	2084N0400X	Neurology Physician
15	207T00000X	Neurological Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	CC0892	OTHER	OH	RAILROAD MEDICARE
8	CF9178	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013942101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYFIELD CLINIC INC

Provider Business Mailing Address
First Line	:	PO BOX 643398
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45264-3398
Country	:	US
Telephone Number	:	513-221-1100
Fax Number	:	513-569-5279

Provider Business Practice Location Address
First Line	:	3825 EDWARDS RD STE 300
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1288
Country	:	US
Telephone Number	:	513-221-1100
Fax Number	:	513-569-5279

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. MICHAEL J RADOMSKI
Credential	:	VP
Telephone Number	:	513-221-1100

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	05/26/2026

Similar Medicare Providers

1265482319 — KRISHNA MOHAN MD
Practice Location Address:

3825 EDWARDS RD STE 300
CINCINNATI, OH
45209-1288

Practice Phone: 513-221-1100
Practice Fax: 513-569-5297

1396799946 — DR. DONALD CARRUTHERS MD
Practice Location Address:

3825 EDWARDS RD STE 300
CINCINNATI, OH
45209-1288

Practice Phone: 513-221-1100
Practice Fax: 513-569-5297

1265469571 — WILLIAM D TOBLER MD
Practice Location Address:

3825 EDWARDS RD STE 300
CINCINNATI, OH
45209-1288

Practice Phone: 513-221-1100
Practice Fax: 513-569-5297

1467485698 — DR. MARIO ZUCCARELLO M.D.
Practice Location Address:

3825 EDWARDS RD STE 300
CINCINNATI, OH
45209-1288

Practice Phone: 513-221-1100
Practice Fax: 513-569-5297

1659489946 — JODY LYNN BECKINGTON NP
Practice Location Address:

3825 EDWARDS RD STE 300
CINCINNATI, OH
45209-1288

Practice Phone: 513-221-1100
Practice Fax: 513-684-4501

1851494983 — DR. JONATHAN EZRA HODES M.D.
Practice Location Address:

3825 EDWARDS RD STE 300
CINCINNATI, OH
45209-1288

Practice Phone: 513-221-1100
Practice Fax: 513-684-4501

Directions to “MAYFIELD CLINIC INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.