BRENDAN MAHON (NPI# 1801322334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801322334 |
| Entity Type | Individual |
| Full Name | BRENDAN MAHON |
| Credential | D.O. |
| Practice Address |
1250 E. Marshall Street Box 980401 Richmond VA 23298 |
| Mailing Address |
1013 W Mount Vernon Ave Haddonfield NJ 08033-3038 |
| Practice Telephone | 8048284860 |
| Mailing Telephone | 6099411728 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1250 E. MARSHALL STREET BOX 980401 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619085552 | Melissa K Bradner | Family Medicine | 1250 E. Marshall Street, Family Medicine, Richmond, VA 23298-0510 | 2006-08-29 |
| 1952925976 | Randy Abdul-karim Bitrus | Student in an Organized Health Care Education/Training Program | 1250 E. Marshall Street, Vcuhs Dept of Internal Medicine, Richmond, VA 23298 | 2020-06-05 |
| 1245854678 | Soleille Everest | Student in an Organized Health Care Education/Training Program | 1250 E. Marshall Street, Vcuhs Dept of Internal Medicine Residency, 980509, Richmond, VA 23298-0509 | 2020-06-01 |
| 1184118184 | Faten Faisal Aqeel | Student in an Organized Health Care Education/Training Program | 1250 E. Marshall Street, Richmond, VA 23298 | 2018-06-22 |
| 1609365527 | Christopher Neil Henry | Student in an Organized Health Care Education/Training Program | 1250 E. Marshall Street, Richmond, VA 23298 | 2018-05-07 |
| 1366947061 | Elisse Park | Student in an Organized Health Care Education/Training Program | 1250 E. Marshall Street, Richmond, VA 23298 | 2018-03-26 |
| 1487009247 | Joshua Knight | Student in an Organized Health Care Education/Training Program | 1250 E. Marshall Street, 980509, Richmond, VA 23298 | 2016-04-29 |
| 1528445285 | Monika Debkowska | Student in an Organized Health Care Education/Training Program | 1250 E. Marshall Street, Box 980153, Richmond, VA 23298 | 2015-05-01 |
| 1942618715 | Maria Hazel Cohan | Nurse Practitioner | 1250 E. Marshall Street, Internal Medicine, Richmond, VA 23298-0509 | 2014-07-24 |
| 1588071948 | Heather Goldston | Nurse Practitioner | 1250 E. Marshall Street, Internal Medicine, Richmond, VA 23298-0509 | 2014-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708666 | Candice Carriere | Student in an Organized Health Care Education/Training Program | 211 Terrace Creek Ct, Richmond, TX 77406-3590 | 2020-10-23 |
| 1548867500 | Daniel Bailey Jr. | Student in an Organized Health Care Education/Training Program | 6211 Gilchrist Ave, Richmond, VA 23231-4723 | 2020-10-02 |
| 1659987899 | Chinwe Nwakaego Dike | Student in an Organized Health Care Education/Training Program | 8023 Bueller Pass Ln, Richmond, TX 77407-1824 | 2020-09-22 |
| 1073127924 | Yuzuru Sambommatsu | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Transplant Surgery Fellowship, 980057, 1250 E. Marshall Street, Richmond, VA 23298-0057 | 2020-09-08 |
| 1639782949 | Vannarong Keo | Student in an Organized Health Care Education/Training Program | 805 Sam Christopher Ct, Richmond, KY 40475-3048 | 2020-08-26 |
| 1770100646 | Reva Jain | Student in an Organized Health Care Education/Training Program | 171 Reid Ln, Richmond, CA 94801-1711 | 2020-06-26 |
| 1477178077 | Robert Cole Schmidt | Student in an Organized Health Care Education/Training Program | Vcu Department of Orthopedics Residency, 980153, 1250 E Marshall St, Richmond, VA 23298-0153 | 2020-06-10 |
| 1144845900 | Alexandra Ernst | Student in an Organized Health Care Education/Training Program | 1250 E Marshal Street, Vcuhs Dept of Orth Residency 980153, Richmond, VA 23298-0153 | 2020-06-08 |
| 1346865136 | Virginia Hamilton Behlen Lucas | Student in an Organized Health Care Education/Training Program | 1201 Broad Rock Blvd Rm 1k, Richmond, VA 23249-0001 | 2020-06-08 |
| 1023632817 | Francis Jefferson Oser II | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surg, 980645, 1250 E Marshall, Richmond, VA 23298-0645 | 2020-06-08 |
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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.