DR. DAVID ROBERT MANDY (NPI# 1376632208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376632208 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROBERT MANDY |
| Credential | D.O. |
| Practice Address |
46600 Romeo Plank Rd Suite 4 Macomb MI 48044-5741 |
| Practice Telephone | 5862285437 |
| Practice Fax Number | 5862287520 |
| Mailing Telephone | 5862285437 |
| Mailing Fax Number | 5862287520 |
| 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 | 208000000X | Pediatrics | DM006689 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
46600 ROMEO PLANK RD SUITE 4 |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323466 | David R Mandy Do, PC | Pediatrics | 46600 Romeo Plank Rd, Suite 4, Macomb, MI 48044-5741 | 2016-05-11 |
| 1396190328 | Alissa Southway | Nurse Practitioner | 46600 Romeo Plank Rd, Suite #4, Macomb, MI 48044-5741 | 2016-04-27 |
| 1447452388 | Deanna M Poniatowski | Dentist | 46600 Romeo Plank Rd, Suite 1, Macomb, MI 48044-5741 | 2007-06-04 |
| 1952502817 | Deanna M. Poniatowski | Dentist | 46600 Romeo Plank Rd, Suite 1, Macomb, MI 48044-5741 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063563476 | Yasser Mohamed Hassane | Pediatrics | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2007-01-13 |
| 1356430664 | Medical Group of Macomb, LLC | Pediatrics | 505 E Grant St Ste 103, Macomb, IL 61455-3308 | 2006-10-12 |
| 1073616173 | Azra Hakimi | Pediatrics | 46591 Romeo Plank, Suite 131, Macomb, MI 48044 | 2006-09-06 |
| 1407896921 | Renee Lindahl Catrambone | Pediatrics | 46591 Romeo Plank Rd Ste 205, Macomb, MI 48044-5705 | 2006-06-07 |
| 1124013750 | Mohammad S Saberi | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2005-09-20 |
| 1114922044 | Khaled A Dabash | Pediatrics | 515 E Grant St, Macomb, IL 61455-3368 | 2005-06-16 |
| 1447780754 | Ruhel Ahmad | Pediatrics | 46591 Romeo Plank Rd Ste 205, Macomb, MI 48044-5705 | 2017-06-19 |
| 1619323466 | David R Mandy Do, PC | Pediatrics | 46600 Romeo Plank Rd, Suite 4, Macomb, MI 48044-5741 | 2016-05-11 |
| 1134559735 | Y Hassane Md PC | Pediatrics | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2013-11-18 |
| 1356698310 | Mcdonough County Hospital District | Pediatrics | 505 E Grant St, Suite 202, Macomb, IL 61455-3352 | 2012-08-09 |
| Find all providers in MACOMB | ||||
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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.