| Dr Thomas E Mandat Md | |
|
5592 Broadview Rd Ste 103 Cleveland OH 44134 | |
| (216) 741-5200 | |
| (216) 741-5201 |
| Full Name | Dr Thomas E Mandat Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 5592 Broadview Rd Ste 103, Cleveland, Ohio |
| Authorized Official Name and Position | Jazmine Lescallett (OFFICE MANAGER) |
| Authorized Official Contact | 4402358484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas E Mandat Md 4758 Ridge Rd Ste 161 Cleveland OH 44144-3327 Ph: (440) 235-8484 | Dr Thomas E Mandat Md 5592 Broadview Rd Ste 103 Cleveland OH 44134 Ph: (216) 741-5200 |
| NPI Number | 1750870374 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/22/2018 |
| Medicare PECOS PAC ID | 3274878145 |
|---|---|
| Medicare Enrollment ID | O20181220002137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750870374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35055707 (Ohio) | Primary |
| Provider Name | Thomas E Mandat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881792794 PECOS PAC ID: 6901894740 Enrollment ID: I20040503000347 |
| Provider Name | Mary K Pallotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023419470 PECOS PAC ID: 9739403387 Enrollment ID: I20150130001094 |
| Provider Name | Anne Wanjiku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487009254 PECOS PAC ID: 1052603685 Enrollment ID: I20160630000425 |
| Provider Name | Sherly Kodiyan Ouseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780100040 PECOS PAC ID: 1951676253 Enrollment ID: I20171012003113 |
| Provider Name | Theresa A Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689165912 PECOS PAC ID: 3971855826 Enrollment ID: I20181004001495 |
| Provider Name | Valerie Rossos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164085163 PECOS PAC ID: 6406198357 Enrollment ID: I20190425001568 |
| Provider Name | Carly M Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124638432 PECOS PAC ID: 0941626105 Enrollment ID: I20200818003257 |
| Provider Name | Aubrey Kay Duman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730782210 PECOS PAC ID: 5597178459 Enrollment ID: I20210113003056 |
| Provider Name | Victoria Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770298416 PECOS PAC ID: 0042683112 Enrollment ID: I20230310001852 |
Alok Bhaiji, Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7055 Engle Rd Ste 503, Cleveland, OH 44130 Phone: 440-816-2556 Fax: 440-816-2557 | |
Good Nature Therapy Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Superior Ave. East, Suite 1618, Cleveland, OH 44114 Phone: 440-836-3838 | |
Northeast Ohio Neighborhood Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13301 Miles Ave, Cleveland, OH 44105 Phone: 216-751-3100 Fax: 216-751-2480 | |
Cleveland State University Health And Wellness Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 Euclid Ave, Un 263, Cleveland, OH 44115 Phone: 216-687-3649 Fax: 216-687-9319 | |
Care Alliance Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1530 Saint Clair Ave Ne, Cleveland, OH 44114 Phone: 216-535-9100 Fax: 216-298-5015 | |
Premier Physicians Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2709 Franklin Blvd Fl 2e, Cleveland, OH 44113 Phone: 216-696-4140 | |
University Hospital Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2181 Ambleside Road, Cleveland, OH 44106 Phone: 216-721-1234 |