DR. CHETAN MANDELIA (NPI# 1457766123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457766123 |
| Entity Type | Individual |
| Full Name | DR. CHETAN MANDELIA |
| Credential | MD |
| Practice Address |
2150 Herbert Ct Greenville NC 27834-3736 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527444963 |
| Practice Fax Number | 2527442791 |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35.130111 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
2020-00462 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2150 HERBERT CT |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141611 | Maria Janae Henwood-finley | Pediatrics | 2150 Herbert Ct, Ecu Pediatric Specialty Clinic, Greenville, NC 27834-3736 | 2005-08-16 |
| 1033754809 | Laura Eileen Romero | Social Worker | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2019-11-15 |
| 1477101152 | Deverick D Delph | Physician Assistant | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2019-08-27 |
| 1164925442 | Marsha Ruiz | Dietitian, Registered | 2150 Herbert Ct, Greenville, NC 27834 | 2018-03-13 |
| 1952800682 | Arlene Merle | Nurse Practitioner | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2018-02-08 |
| 1316486830 | Kaitlin Hamilton | Physician Assistant | 2150 Herbert Ct, Ecu Physicians Pediatric Endocrinology, Greenville, NC 27834-3736 | 2017-02-16 |
| 1871940239 | Patreece Payne Govea | Social Worker | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2016-05-16 |
| 1942685599 | Julia A Carlson | Dietitian, Registered | 2150 Herbert Ct, Ecu Pediatric Specialty Clinic, Greenville, NC 27834-3736 | 2015-07-24 |
| 1265826960 | Crystal Garman | Social Worker | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2015-03-20 |
| 1497152722 | Donna Gaines Clement | Dietitian, Registered | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2014-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649532367 | Lindsay M Moye | Pediatrics | 200 Patewood Dr Ste A140, Greenville, SC 29615 | 2012-06-08 |
| 1689837932 | John David Feerick Jr. | Pediatrics | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2008-07-08 |
| 1942249222 | Jonathan E Markowitz | Pediatrics | 200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 | 2006-06-05 |
| 1568409456 | Douglas E. Winesett | Pediatrics | 200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 | 2006-06-01 |
| 1811982457 | Johann Rainer Poley | Pediatrics | 2150 Herbert Ct, Ecu Physicians Pediatric Gastroenterology, Greenville, NC 27834-3736 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841760238 | Mission Community Anesthesiology Specialists LLC | Pediatrics | 2695 Hendersonville Rd Ste 206, Arden, NC 28704-8576 | 2018-11-28 |
| 1205351756 | Dara Adina Seelig | Pediatrics | Brenner Children's Hospital Wake Forest Baptist Health, Winston Salem, NC 27157-0001 | 2017-08-06 |
| 1609229947 | Prathipa Santhanam | Pediatrics | N.c. Children's Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2016-07-21 |
| 1912286410 | Carolinas Medical Center-northeast | Pediatrics | 101 East W T Harris Blvd, Bldg 3000, Suite 3301e, Charlotte, NC 28262-7000 | 2011-08-15 |
| 1013296730 | Timothy Menz | Pediatrics | 2711 Randolph Rd Ste 301, Charlotte, NC 28207-2027 | 2011-08-11 |
| 1396904967 | Sachin Shrikar Kunde | Pediatrics | 2601 Lake Dr Ste 201, Raleigh, NC 27607-6689 | 2008-06-08 |
| 1639260243 | Rose Corinne Marcus | Pediatrics | 333 South Columbia Street Cb 7229, Chapel Hill, NC 27599-4202 | 2006-09-27 |
| 1336704766 | Wakemed Specialists Group, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-05-01 |
| 1982105375 | Pedzfeedz, Pllc | Pediatrics | 720 Saint James Dr, Wilmington, NC 28403 | 2018-02-22 |
| 1013453604 | Novant Medical Group, Inc. | Pediatrics | 11840 Southmore Dr, Suite 200, Charlotte, NC 28277-4466 | 2017-01-06 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DR. CHETAN MANDELIA.
| 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.