Martin L Mandel M. D.,Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35034980 Issued in OH

Legal business name

MARTIN L MANDEL M. D.,INC

Practice address

36100 Euclid Ave
Suite 320
Willoughby, OH 44094-4456

Phone

(440) 951-1073

Fax

(440) 951-1844

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin L Mandel, M.D.

Title

Physician

Phone

(440) 951-1073

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1760516801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "address_2": "SUITE 320",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944456",
            "telephone_number": "440-951-1073",
            "fax_number": "440-951-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "address_2": "SUITE 320",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944456",
            "telephone_number": "440-951-1073",
            "fax_number": "440-951-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN L MANDEL M. D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-951-1073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35034980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129519",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0332689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marinela L Turc MD LLC
• Judith Marinich, PCC, LICDC
• Mark F. Kapusta O.D. Inc
• Amber Marquardt
• Marche Marshall
• Debbie Martin, LPN
• Eugene Martin, QMHS
• Matthew Paul Martin, D.C.
• Michael S. Martin
• Patricia Martinac

• Specialist in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.