Dr Thomas E Mandat MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35055707 Issued in OH

Legal business name

DR THOMAS E MANDAT MD

Practice address

5592 Broadview Rd Ste 103
Cleveland, OH 44134

Phone

(216) 741-5200

Fax

(216) 741-5201

NPI assigned

May 9, 2018

Last updated

May 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jazmine Lescallett

Title

Office Manager

Phone

(440) 235-8484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Brooke Easley, RN

  • Nurse Practitioner
  • Parma, OH
  • NPI 1144690322
  Medicare reassignment Care Compare group NPD
• Thomas Emil Mandat, MD

  • Internal Medicine Physician
  • Parma, OH
  • NPI 1881792794
  Medicare reassignment Care Compare group
• Aubrey Kay Duman

  • Adult Health Nurse Practitioner
  • Parma, OH
  • NPI 1730782210
  Medicare reassignment
• Carly Goebel, APRN-CNP

  • Family Nurse Practitioner
  • Strongsville, OH
  • NPI 1124638432
  Medicare reassignment
• Victoria Green, APRN, CNP

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1770298416
  Medicare reassignment
• Mary K Pallotta, CNP, MSN

  • Primary Care Nurse Practitioner
  • Middleburg Heights, OH
  • NPI 1023419470
  Medicare reassignment
• Valerie Rossos, NP

  • Nurse Practitioner
  • Parma, OH
  • NPI 1164085163
  Medicare reassignment
• Theresa Ann Shultz, CNP

  • Gerontology Nurse Practitioner
  • Cleveland, OH
  • NPI 1689165912
  Medicare reassignment
• Anne Wanjiku, NP

  • Family Nurse Practitioner
  • Parma, OH
  • NPI 1487009254
  Medicare reassignment
• William John Stout, PA-C

  • Physician Assistant
  • Rockford, IL
  • NPI 1245263268

  OH

  Medicare reassignment

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1750870374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 RIDGE RD STE 161",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443327",
            "telephone_number": "440-235-8484",
            "fax_number": "440-235-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5592 BROADVIEW RD STE 103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44134",
            "telephone_number": "216-741-5200",
            "fax_number": "216-741-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS E MANDAT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "LESCALLETT",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-235-8484"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35055707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.