DR. MICHAEL JAMES MANDARINO JR.


Address: 2832 Belmont Ave, Philadelphia, PA 19131-1519
Phone: 2158781212

DR. MICHAEL JAMES MANDARINO JR. (NPI# 1780622639) 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) 1780622639
Entity Type Individual
Full Name DR. MICHAEL JAMES MANDARINO JR.
Credential M.D.
Practice Address 2832 Belmont Ave
Philadelphia
PA 19131-1519
Practice Telephone 2158781212
Practice Fax Number 2158781810
Mailing Telephone 2158781212
Mailing Fax Number 2158781810
Enumeration Date 2006-06-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
MD014300E PA Allopathic & Osteopathic Physicians

Office Location

Street Address 2832 BELMONT AVE
City PHILADELPHIA
State PA
Zip Code 19131-1519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912206046 Michael J. Mandarino, M.d., P.C. Orthopaedic Surgery 2832 Belmont Ave, Philadelphia, PA 19131-1519 2011-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1659970689 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 1575 North 25nd Street, Philadelphia, PA 19131 2020-10-21
1821629254 Stephen Osowski Student in an Organized Health Care Education/Training Program 4170 City Avenue, Philadelphia, PA 19131 2020-02-04
1134774888 Arti D Mistry Dentist 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1922502582 Kevin David Wojcik Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 2018-03-20
1235633900 Nadja Hill Home Health 5203 Diamond Street, Philadelphia, PA 19131 2018-03-19
1932623857 Mercy Management of Sepa Social Worker 1575 N 52nd St Ste 800, Philadelphia, PA 19131 2017-08-02
1578092235 Sarah Marie Hoder Specialist/Technologist 4000 Presidential Avenue, Philadlephia, PA 19131 2017-06-07
Find all providers in zip 19131

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790323517 Einstein Practice Plan Inc Orthopaedic Surgery 5501 Old York Rd Bldg Fl4, Philadelphia, PA 19141-3018 2019-12-11
1730140153 Kevin Blake Freedman Orthopaedic Surgery 925 Chestnut St, Fl 5, Rothman Institute, Philadelphia, PA 19107-4216 2006-03-28
1306833132 Temple University of The Commonwealth System of Higher Education Orthopaedic Surgery 7604 Central Ave, Philadelphia, PA 19111-2433 2005-10-06
1245713908 Temple Faculty Practice Plan, Inc Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1366961237 Holy Family University Orthopaedic Surgery 9801 Frankford Ave, Philadelphia, PA 19114-2009 2017-09-12
1669871026 Theresa Julia Christina Pazionis Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2014-08-21
1790121507 Daniel Lim Orthopaedic Surgery 3400 Spruce St, Philadelphia, PA 19104 2013-05-20
1669714671 Jamie Lyn Engel Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2013-03-18
1164788832 Julie Shaner Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2012-04-07
1679899462 David K Galos Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2010-04-19
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19131

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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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