MARK MANDICHAK (NPI# 1386849644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386849644 |
| Entity Type | Individual |
| Full Name | MARK MANDICHAK |
| Credential | MD |
| Practice Address |
500 Martha Jefferson Dr Charlottesville VA 22911 |
| Mailing Address |
Po Box 79777 Baltimore MD 21279-0777 |
| Practice Telephone | 4346547580 |
| Practice Fax Number | 4346547582 |
| Mailing Telephone | 4346547794 |
| Mailing Fax Number | 4346547582 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 0101246995 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
500 MARTHA JEFFERSON DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248663 | Martha Jefferson Hospital | General Acute Care Hospital | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2005-07-11 |
| 1316548175 | Tiffany Kristen White | Pharmacist | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2020-11-06 |
| 1174094114 | Deveryn Bailey | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-12-17 |
| 1013496116 | Jennifer Graham Stancil | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-08-09 |
| 1609374313 | Stephanie Rowe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-01-28 |
| 1629585450 | Jennifer L Raymond | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2018-01-02 |
| 1033634845 | Melissa Volpe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2017-08-14 |
| 1376068973 | Laura R Trissel | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-08-04 |
| 1497277396 | Gina Gilmore | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-07-12 |
| 1013437854 | Alison Burkholder Heavenridge | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457672024 | Baidaa N Sullivani | Hospitalist | 3136 Turnberry Cir, Charlottesville, VA 22911-7489 | 2010-06-18 |
| 1134363427 | Yuri Maricich | Hospitalist | 977 Seminole Trl, #357, Charlottesville, VA 22901-2824 | 2009-04-30 |
| 1083652796 | Grace A Hutcheson | Hospitalist | 2705 Westmoreland Rd, Charlottesville, VA 22901 | 2006-06-03 |
| 1053897033 | Normand Roland Dube | Hospitalist | 500 Martha Jefferson Drive, Inpatient Services, Charlottesville, VA 22911-4668 | 2018-07-13 |
| 1740719137 | Comfort Obiajulu Elumogo | Hospitalist | 1215 Lee Street, Box 800744, Charlottesville, VA 22908-0816 | 2017-06-08 |
| 1497283154 | Lori T Hage | Hospitalist | 500 Martha Jefferson Dr, Inpatient Services, Charlottesville, VA 22911-4668 | 2017-05-25 |
| 1649705542 | Sthuthi David | Hospitalist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2017-04-28 |
| 1861927436 | Janaki Patel | Hospitalist | 1215 Lee St, Charlottesville, VA 22908-6421 | 2017-04-20 |
| 1538691993 | Rishitha Bollam | Hospitalist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2017-04-03 |
| 1548792351 | Emily Richardson | Hospitalist | 1215 Lee St, Box # 800744, Charlottesville, VA 22908-0816 | 2017-03-30 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
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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.