MEDICARE: VI SANO HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	175T00000X	Peer Specialist
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	171M00000X	Case Manager/Care Coordinator
4	363L00000X	Nurse Practitioner

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

General Provider Information

NPI Number	:	1780313866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VI SANO HEALTHCARE

Provider Business Mailing Address
First Line	:	7556 STATE ROUTE 45 STE B
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-9807
Country	:	US
Telephone Number	:	330-870-4127
Fax Number	:	330-870-4139

Provider Business Practice Location Address
First Line	:	7556 STATE ROUTE 45 STE B
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-9807
Country	:	US
Telephone Number	:	330-870-4127
Fax Number	:	330-870-4139

Authorized Official
Title or Position	:	OWNER
Name	:	HEATHER M MASON
Credential	:	AGACNP-BC
Telephone Number	:	330-692-1641

Provider Enumeration Date	:	06/06/2022
Last Update Date	:	05/26/2026

Similar Medicare Providers

1205234341 — HEATHER MASON CNP
Practice Location Address:

7556 STATE ROUTE 45 STE B
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1366371007 — MELINDA S MCGUIRE
Practice Location Address:

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1770413023 — RICHARD ALAN MERCER RN
Practice Location Address:

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1417887316 — SARAH F DRIGGS
Practice Location Address:

40722 STATE ROUTE 154
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1184627010 — DR. BARBARA THORNBERRY AU.D.
Practice Location Address:

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1952308066 — MR. GEORGE SCOTT WILSON D.O.
Practice Location Address:

356 E LINCOLN WAY
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44432-1443

Practice Phone: 330-420-0200
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Directions to “VI SANO HEALTHCARE ” Practice Location

Language	Start Address	Practice Location

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