Manderson Orthopaedic Clinic and Joint Pain Center LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MANDERSON ORTHOPAEDIC CLINIC AND JOINT PAIN CENTER LLC

Practice address

1140 Varnum St NE Ste 207
Washington, DC 20017-2153

Phone

(202) 526-5300

Fax

(202) 526-6013

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Easton L Manderson, MD

Title

President

Phone

(202) 526-5300

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21184/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1891326807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 207",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-526-5300",
            "fax_number": "202-526-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 207",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-526-5300",
            "fax_number": "202-526-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDERSON ORTHOPAEDIC CLINIC AND JOINT PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "MANDERSON",
        "authorized_official_first_name": "EASTON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-526-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Mandelblatt, MD
• Bre'Onna Cecelia Mandeles, FNP
• Caroline Mandeng
• Gertrude Kyliane Mandeng
• Barbara E Mander I, RD
• Easton L Manderson, M.D.
• Comfort F Mandi
• Florence Mandi
• Naomi H Mandishona
• Lauryn Mandy

• Orthopaedic Surgery Physician in Washington, DC
• Providers in Washington, DC by specialty
• Orthopaedic Surgery Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.