MANDELL & BLAU, MD'S PC (NPI# 1427168178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427168178 |
Entity Type | Organization |
Organization Name | MANDELL & BLAU, MD'S PC |
Other Organization Name | WOMEN'S CENTER OF SOUTHINGTON |
Practice Address |
55 Meriden Ave Southington CT 06489-3238 |
Mailing Address |
55 Meriden Ave P.o. Box 230 Southington CT 06489-3238 |
Practice Telephone | 8602765299 |
Practice Fax Number | 8602765297 |
Mailing Telephone | 8606213335 |
Mailing Fax Number | 8606201745 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-03-23 |
Authorized Official Name | DR. JEFFREY S BLAU (PRESIDENT) |
Authorized Official Telephone | 8608278978 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | HEALTHNET | 0R0994 | 01 |
CT | ANTHEM BC/BS | 500HBX027CT01 | 01 |
CT | 4000931 | 05 | |
CT | WELLCARE/PREFERRED ONE | 132743 | 01 |
CT | CONNECTICARE | 506085 | 01 |
Other Name | Type Code |
---|---|
Women's Center of Southington | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376746537 | Mandell & Blau, Md's PC | Radiology | 137 Hazard Ave, Suite #2, Enfield, CT 06082-5425 | 2007-06-06 |
1811007545 | Mandell & Blau, Md's PC | Radiology | 491 Buckland Rd, Suite 3, South Windsor, CT 06074-3732 | 2006-08-30 |
1841300589 | Mandell & Blau, Md's PC | Radiology | 65 Memorial Rd Ste 510, West Hartford, CT 06107-4226 | 2006-08-30 |
1780887950 | Mandell & Blau, Md's PC | Radiology | 140 Main St, Metro Square, Middletown, CT 06457-3437 | 2007-06-06 |
1679776835 | Mandell & Blau, Md's PC | Radiology | 124 Hebron Ave Ste 1b, Glastonbury, CT 06033-2063 | 2007-06-06 |
1801986526 | Mandell & Blau, Md's PC | Radiology | 491 Buckland Rd, Suite #3, South Windsor, CT 06074-3732 | 2006-10-13 |
1548350267 | Mandell & Blau, Md's PC | Radiology | 65 Memorial Rd, Suite 510, West Hartford, CT 06107-2434 | 2006-10-13 |
1679677306 | Mandell & Blau, Md's PC | Radiology | 81 Meriden Ave, Southington, CT 06489-3268 | 2006-09-12 |
1508878620 | Mandell & Blau, Md's PC | Radiology | 100 Grand St, New Britain, CT 06052-2016 | 2006-08-13 |
Street Address |
55 MERIDEN AVE |
City | SOUTHINGTON |
State | CT |
Zip Code | 06489-3238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710979463 | Peter David Byeff | Internal Medicine | 55 Meriden Ave, Ste 1a, Southington, CT 06489-3238 | 2005-08-18 |
1447480819 | Lisa Dimichele-stokes | Physical Therapist | 55 Meriden Ave, Southington, CT 06489-3238 | 2009-07-20 |
1437327145 | Eye-wear Glasses Inc | Eyewear Supplier (Equipment, not the service) | 55 Meriden Ave, Suite 2f, Southington, CT 06489-3238 | 2008-02-15 |
1932309382 | Southington Eye Associates, P.C. | Ophthalmology | 55 Meriden Ave, Suite 2d, Southington, CT 06489-3238 | 2007-07-24 |
1093914574 | Joshua Rock | Internal Medicine | 55 Meriden Ave, Suite 3g, Southington, CT 06489-3238 | 2007-07-13 |
1669699047 | James Battipaglia | Technician/Technologist | 55 Meriden Ave, Suite 2f, Southington, CT 06489-3238 | 2007-04-19 |
1366594913 | Curtland Chester Brown IIi | Internal Medicine | 55 Meriden Ave, Suite 1h, Southington, CT 06489-3238 | 2007-01-16 |
1033157722 | Lifespring Pediatrics LLC | Pediatrics | 55 Meriden Ave, Suite 3a, Southington, CT 06489-3238 | 2006-06-03 |
1821042953 | Maureen N Onyirimba | Pediatrics | 55 Meriden Ave, Suite 3a, Southington, CT 06489-3238 | 2006-05-22 |
1588618185 | Cancer Center of Central Connecticut LLC | Internal Medicine | 55 Meriden Ave, Southington, CT 06489-3237 | 2006-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
Find all providers in zip 06489 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679677306 | Mandell & Blau, Md's PC | Radiology | 81 Meriden Ave, Southington, CT 06489-3268 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
Find all providers with the same taxonomy |
City | SOUTHINGTON |
Zip Code | 06489 |
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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.