DR. VIJAYSINHA MANDHARE (NPI# 1891905287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891905287 |
| Entity Type | Individual |
| Full Name | DR. VIJAYSINHA MANDHARE |
| Other Name | DR. VIJAY MANDHARE |
| Credential | MD |
| Practice Address |
3801 Wake Forest Rd Ste 210 Raleigh NC 27609-6864 |
| Practice Telephone | 9197877246 |
| Practice Fax Number | 9197877247 |
| Mailing Telephone | 9197877246 |
| Mailing Fax Number | 9197877247 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2008-00275 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5910579 | 05 | |
| NC | RAILROAD MEDICARE GROUP PTAN | DP4614 | 01 |
| NC | RAILROAD MEDICARE | P00759335 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3001 Edwards Mill Rd, Suite 203, Raleigh, NC 276125243 | 9197877246 | 9197877247 |
| 510 Timber Dr E Ste 105, Garner, NC 275294689 | 9197877246 | 9197877247 |
| Street Address |
3801 WAKE FOREST RD STE 210 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-6864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578551040 | Jennifer Louloudes | Physician Assistant | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2005-10-10 |
| 1558801076 | Wake Spine and Pain Specialists, PC | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2017-03-02 |
| 1114357274 | Shannon Vassallo | Physician Assistant | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2013-11-26 |
| 1639330236 | Timothy Wayne Reis | Physical Medicine & Rehabilitation | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2008-06-17 |
| 1356522965 | Colleen Pawlak | Nurse Practitioner | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2007-11-26 |
| 1942367156 | Viren D. Desai | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2007-01-03 |
| 1639233604 | Kenneth John Ramsauer | Physician Assistant | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721395 | Jack Wei Lam | Anesthesiology | 3050 Duraleigh Rd Ste 201, Raleigh, NC 27612-5451 | 2008-05-29 |
| 1205032984 | Seung W. Kim | Anesthesiology | 7780 Brier Creek Pkwy, Suite 200, Raleigh, NC 27617-7869 | 2007-06-21 |
| 1184703332 | Robert D Wadley | Anesthesiology | 7780 Brier Creek Pkwy Ste 200, Raleigh, NC 27617-7869 | 2006-11-06 |
| 1467992982 | Wake Spine and Pain Specialists, PC | Anesthesiology | 10880 Durant Rd, Suite 324, Raleigh, NC 27614-6628 | 2017-03-02 |
| 1558801076 | Wake Spine and Pain Specialists, PC | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2017-03-02 |
| 1255877171 | Interventional Pain Center, Pllc | Anesthesiology | 123 Sunnybrook Rd, Suite 130, Raleigh, NC 27610-2783 | 2017-01-17 |
| 1023381175 | Sk Pain Medicine, Pllc | Anesthesiology | 7780 Brier Creek Pkwy, Ste. 200, Raleigh, NC 27617-7849 | 2012-02-21 |
| 1386828754 | Nevin Mahendra Shrimanker | Anesthesiology | 4420 Lake Boone Trail, Critical Health Systems Office - Rex Hospital, Raleigh, NC 27607 | 2007-12-20 |
| 1942367156 | Viren D. Desai | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1598235830 | Mission Community Anesthesiology Specialists LLC | Anesthesiology | 89 Hospital Dr Ste C, Brevard, NC 28712-4838 | 2018-11-29 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1356898720 | Ketamine Wellness Institute | Anesthesiology | 414 Cosgrove Ave, Chapel Hill, NC 27514-5271 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. VIJAYSINHA MANDHARE.
| 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.