David R. Mandel MD Inc.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

35042685M Issued in OH

Legal business name

DAVID R. MANDEL MD INC.

Practice address

6551 Wilson Mills Rd
Suite 106
Cleveland, OH 44143-3495

Phone

(440) 449-8277

Fax

(440) 449-7137

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

David M Rothhaas

Title

Administrator

Phone

(440) 449-8277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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

• Katy Eichas, PHYSICAN ASSISTANT

  • Medical Physician Assistant
  • Mayfield Village, OH
  • NPI 1497705024
  NPD (past)
• Mary Ann Greene, NP

  • Gerontology Nurse Practitioner
  • Cleveland, OH
  • NPI 1316957632
  NPD (past)
• Amy M Wilson, PA-C

  • Physician Assistant
  • Oberlin, OH
  • NPI 1063684090
  NPD (past)
• Joana A Zula, PA-C

  • Medical Physician Assistant
  • Concord TWP, OH
  • NPI 1699060467
  NPD (past)
• Margaret Mary Carey, ANP

  • Adult Health Nurse Practitioner
  • Waltham, MA
  • NPI 1881746972
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1508050915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 WILSON MILLS RD",
            "address_2": "SUITE 106",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433495",
            "telephone_number": "440-449-8277",
            "fax_number": "440-449-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 WILSON MILLS RD",
            "address_2": "SUITE 106",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433495",
            "telephone_number": "440-449-8277",
            "fax_number": "440-449-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. MANDEL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "ROTHHAAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-449-8277"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35042685M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0457269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nitin Davessar, MD
• Timothy Charles Davian Jr.
• David P Agle MD Inc
• David Perse MD, LLC
• David Perse, M.D.
• Lauren David
• Sharon David, CNP
• Yocheved Davidowitz, LPC
• Amber Lynn Davidson
• Ashley Dawn Davidson, M.D.

• Rheumatology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Rheumatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.