David R Mandy DO, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DAVID R MANDY DO, PC

Practice address

46600 Romeo Plank Rd
Suite 4
Macomb, MI 48044-5741

Phone

(586) 228-5437

Fax

(586) 228-7520

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

David R Mandy, D.ONPI 1376632208

Title

Owner

Phone

(586) 228-5437

Specialties & licenses 1

Addresses

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

Practitioners 2

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

• David Robert Mandy, D.O.

  • Pediatrics Physician
  • Macomb, MI
  • NPI 1376632208
  NPD (past) Authorized official
• Alissa Southway, FNP-C

  • Family Nurse Practitioner
  • Macomb, MI
  • NPI 1396190328
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1619323466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46600 ROMEO PLANK RD",
            "address_2": "SUITE 4",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445741",
            "telephone_number": "586-228-5437",
            "fax_number": "586-228-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46600 ROMEO PLANK RD",
            "address_2": "SUITE 4",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445741",
            "telephone_number": "586-228-5437",
            "fax_number": "586-228-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R MANDY DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "MANDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-228-5437",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D-Lux Physical Therapy
• Ferah Adil Dalaly, M.D.
• Iris Bourbon Daniel, MD
• Talat Danish, MD MPH
• David M Kolakowski DDS PC
• Julia Davis, PT, DPT
• Rebecca Davis
• Roni Dawood
• Deanna M. Poniatowski
• Dearborn Physical Therapy LTD

• Pediatrics Physician in Macomb, MI
• Providers in Macomb, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.