Doc's Interventional Sports Medicine and Primary Care P.L.L.C.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.

Practice address

3322 E Walnut St Ste 112
Pearland, TX 77581-4305

Phone

(281) 485-3226

Fax

(281) 485-5520

NPI assigned

Sep 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent Joseph Mandola, MDNPI 1013352251

Title

Physician/Owner

Phone

(281) 485-3226

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: docs@docsmedicine.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Joseph Mandola, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Pearland, TX
  • NPI 1013352251

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Alexandra Mandola, DO

  • Family Medicine Physician
  • Katy, TX
  • NPI 1801383633
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1477169076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 E WALNUT ST STE 112",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814305",
            "telephone_number": "281-485-3226",
            "fax_number": "281-485-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 E WALNUT ST STE 112",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814305",
            "telephone_number": "281-485-3226",
            "fax_number": "281-485-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "MANDOLA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-485-3226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013352251",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Docs@DocsMedicine.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3322 E Walnut St Ste 112",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775814305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacquelyn DO, DDS
• Nathan Van-Khang Doan
• Sophie Doan, D.D.S
• Tuyet Doan, DDS
• Kelsey L Dobbs, APRN-CNP
• Tracy Dokyi-Okai
• Paul John Domenichini Jr., COTA
• Ivette Dominguez Crespo, DMD
• Larisa Janelle Dominguez
• Lillian Dominguez

• Sports Medicine (Family Medicine) Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.