DR. ANDREA PAX MANN


Address: 2054 South Green Road, South Euclid, OH 44121
Phone: 2162919210

DR. ANDREA PAX MANN (NPI# 1487751046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487751046
Entity Type Individual
Full Name DR. ANDREA PAX MANN
Credential DO
Practice Address 2054 South Green Road
South Euclid
OH 44121
Practice Telephone 2162919210
Practice Fax Number 2162919422
Mailing Telephone 2162919210
Mailing Fax Number 2162919422
Enumeration Date 2006-09-17
Last Update Date 2012-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
3400806 OH Allopathic & Osteopathic Physicians
N 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
34-00-8060-M OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2408693 05

Other Providers ANDREA MANN

NPI Name Taxonomy Address Enumeration
1013182385 Andrea Lorene Mann Speech-Language Pathologist 27 Pine Needle Rd, Boulder, CO 80304-0436 2008-04-28
1093286783 Andrea Mann Counselor 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948-1064 2018-12-06
1518279256 Andrea Parisa Mann Psychiatry & Neurology 30 N Michigan Ave Ste 901, Chicago, IL 60602-3767 2010-07-10
1003954736 Andrea Lee Mann Dentist 390 State Route 10, Randolph, NJ 07869-2141 2007-02-02

Office Location

Street Address 2054 SOUTH GREEN ROAD
City SOUTH EUCLID
State OH
Zip Code 44121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114919958 Ann Marie Witt Family Medicine 2054 South Green Road, South Euclid, OH 44121 2005-08-18
1952704918 Taylor V Knight Nurse Practitioner 2054 South Green Road, Senders Pediatrics, South Euclid, OH 44121 2014-10-06
1033381462 Dr. Shelly David Senders, Md, Inc Pediatrics 2054 South Green Road, South Euclid, OH 44121 2008-03-26
1164488813 Elizabeth Z Bucchieri Pediatrics 2054 South Green Road, South Euclid, OH 44121 2006-04-21
1194781906 Jill A Sangree Pediatrics 2054 South Green Road, South Euclid, OH 44121 2006-04-21
1629030242 Shelly David Senders Pediatrics 2054 South Green Road, South Euclid, OH 44121 2006-04-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396213443 Khrystyne Hill Home Health Aide 1396 Villa Dr, South Euclid, OH 44121 2018-11-07
1700369329 An Angels Touch Case Manager/Care Coordinator 4673 Liberty Road, South Euclid, OH 44121 2018-09-10
1336654169 Dawn Marniece Burns Counselor 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 2017-12-01
1154830610 Kamry Wilson Massage Therapist 1915 Temblethurst Rd, South Euclid, OH 44121 2017-09-27
1891210027 Tyrone Sykes Counselor 2940 Noble Rd, Cleveland Hts, OH 44121 2017-08-09
1083140412 Cortney Casey Licensed Practical Nurse 3430 Monticello Blvd, Cleveland Heights, OH 44121 2017-05-04
1821523374 Sharmila Noles Licensed Practical Nurse 818 South Green Rd, 5, South Euclid, OH 44121 2017-04-21
1679018725 Safe Haven Residential Services In Home Supportive Care 2515 Belvoir Rd, Cleveland, OH 44121 2016-12-28
1447702154 Jerry C Mallory Jr. Military Health Care Provider 4018 Bayard 44121, Apo, AA 44121 2016-10-28
1215388129 Rose-mary, The Johanna Grasselli Rehabilitation and Education Center Intermediate Care Facility, Mentally Retarded 4383 Ammon Road, South Euclid, OH 44121 2016-06-22
Find all providers in zip 44121

Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629253323 Virgie U Que Internal Medicine 1790 N Lakewood Ave, Port Clinton, OH 43452-2971 2008-01-01
1134328537 William Hanna Internal Medicine 4326 Baintree Rd, Cleveland, OH 44118-3931 2007-07-16
1801919816 Agarwal & Agarwal Mds Inc Internal Medicine 7405 Brandt Pk, Huber Heights, OH 45424-3239 2007-04-06
1740217009 Anthony J Finizia Internal Medicine 5208 Memphis Ave, Metrohealth Brooklyn Medical Group, Cleveland, OH 44144-2231 2006-06-26
1063476497 Cynthia H Ledford Internal Medicine 1609 Northwest Blvd, Columbus, OH 43212-2544 2006-04-13
1770570764 Nirmala Nandigam Internal Medicine 4901 Turney Rd, Garfield Hts, OH 44125-2546 2005-10-04
1326049081 Betsy L Kendis Internal Medicine 4575 Stephens Cir Nw, Canton, OH 44718-3629 2005-08-03
1134127954 Rajendra A Patel Internal Medicine 382 N Detroit St, Xenia, OH 45385-2233 2005-07-14
1619974037 John C Westerbeck Internal Medicine 2037 Wales Rd Nw, Suite 130, Massillon, OH 44646 2005-06-30
1033300215 Praveena Cheruvu Internal Medicine 1111 Sweitzer St, Suite C, Greenville, OH 45331 2007-08-05
Find all providers with the same taxonomy

Competitor

Search similar providers

City SOUTH EUCLID
Zip Code 44121

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Dataset Information

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.

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