DR. PAUL D MANDEL (NPI# 1336237312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336237312 |
| Entity Type | Individual |
| Full Name | DR. PAUL D MANDEL |
| Credential | M.D. |
| Practice Address |
5150 N Port Washington Rd Suite 167 Glendale WI 53217-5474 |
| Practice Telephone | 4142247686 |
| Practice Fax Number | 4142247685 |
| Mailing Telephone | 4142247686 |
| Mailing Fax Number | 4142247685 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 23817 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30592500 | 05 |
| Street Address |
5150 N PORT WASHINGTON RD SUITE 167 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-5474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433778 | Great Lakes Hospice LLC | Hospice Care, Community Based | 5150 N Port Washington Rd, Glendale, WI 53217-5474 | 2020-10-07 |
| 1528200599 | Heidi Elizabeth Bares Weidner | Physical Therapist | 5150 N Port Washington Rd, #130, Glendale, WI 53217-5474 | 2009-04-06 |
| 1235210907 | Neurological Surgery Consultants, Ltd | Specialist | 5150 N Port Washington Rd, Suite 220, Glendale, WI 53217-5474 | 2006-10-18 |
| 1366531865 | Paul D Mandel Md Sc | Ophthalmology | 5150 N Port Washington Rd, Suite 167, Glendale, WI 53217-5474 | 2006-10-12 |
| 1003918913 | Bruce E Holmstrom | Dentist | 5150 N Port Washington Rd, Suite 201, Glendale, WI 53217-5474 | 2006-09-01 |
| 1114029048 | Bruce Holmstrom D.d.s.,sc | Dentist | 5150 N Port Washington Rd, Suite 201, Glendale, WI 53217-5474 | 2006-09-01 |
| 1689618571 | Jack Hudson Deckard | Neurological Surgery | 5150 N Port Washington Rd, Ste 220, Glendale, WI 53217-5474 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
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|---|---|---|---|---|
| 1780199034 | Hratch D Kourouyan Md Inc | Ophthalmology | 1540 W Glenoaks Blvd Ste 101, Glendale, CA 91201-3153 | 2017-12-08 |
| 1518480615 | Retina Institute of Ca | Ophthalmology | 435 Arden Ave # 430-435, Glendale, CA 91203-1130 | 2017-07-20 |
| 1609279165 | Anew Vision Eye Specialists, Pllc | Ophthalmology | 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 | 2014-09-29 |
| 1447696539 | Neda Esmaili Md Sc | Ophthalmology | 377 West Riverwoods Parkway, Suite 115, Glendale, WI 53212 | 2013-05-15 |
| 1497084958 | Elda Aghaian, Md Inc | Ophthalmology | 1560 E Chevy Chase Dr Ste 220, Glendale, CA 91206-4140 | 2009-12-12 |
| 1023287489 | Elsa Aghaian | Ophthalmology | 607 N. Central Ave., Suite 204, Glendale, CA 91203-1808 | 2008-02-29 |
| 1013105048 | Eye Care First, A Medical Group,inc. | Ophthalmology | 610 N Central Ave Ste 103, Glendale, CA 91203-1419 | 2007-10-03 |
| 1134315757 | Samuel A Mcconkey IIi Md PC | Ophthalmology | 5830 W Thunderbird Rd, Suite B5, Glendale, AZ 85306-4654 | 2007-09-18 |
| 1306996541 | Valley Retina Surgeons LLC | Ophthalmology | 20118 N 67th Ave, Suite 300-240, Glendale, AZ 85308-4621 | 2007-01-11 |
| 1598849846 | Sahag Aram Baghdassarian | Ophthalmology | 1310 S Central Ave, Glendale, CA 91204-2506 | 2006-10-24 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.