Edmundo Reyes Mandac (NPI# 1215998463, PAC ID# 5193857688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1215998463 |
| PAC ID by PECOS | 5193857688 |
| Professional Enrollment ID | I20100719000938 |
| Full Name | Edmundo Reyes Mandac |
| Organization Legal Name | UNIVERSITY EMERGENCY SPECIALISTS OF BEDFORD, LLC |
| Address |
44 Blaine Ave Bedford OH 44146-2709 |
| Phone Number | 3305283593 |
| Gender | M |
| Medical School | UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2466357801 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360137 | UNIVERSITY HOSPITALS OF CLEVELAND |
| 360075 | UH REGIONAL HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 44 Blaine Ave, Bedford, OH 44146-2709 | 3305283593 | UNIVERSITY EMERGENCY SPECIALISTS OF BEDFORD, LLC |
| 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2406862300 | UES RICHMOND HEIGHTS, LLC |
| Organization Legal Name | UNIVERSITY EMERGENCY SPECIALISTS OF BEDFORD, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Somple | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Laura C Vrabel | Nurse Practitioner | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Laura Lynn Ridgley | Nurse Practitioner | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Eric J Goldblatt | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Kirk Stiffler | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Brett W Kinkopf | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Milad S Arshian | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Emily Goldman-huertas | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Theresa Domers | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 8819 Commons Blvd, Suite 101, Twinsburg, OH 44087-4102 |
| David L Sugerman | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Street Address |
44 BLAINE AVE |
| City | BEDFORD |
| State | OH |
| Zip | 44146-2709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joelle D Popowich | Nurse Practitioner | Uh Regional Hospitals | 44 Blaine Ave, Bedford, OH 44146-2709 |
| John M Somple | Emergency Medicine | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Kristen M Kilburg | Nurse Practitioner | Uh Regional Hospitals | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Laura C Vrabel | Nurse Practitioner | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Christina Rebic | Nurse Practitioner | Uh Regional Hospitals | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Charlena A.a. Mckinney | Nurse Practitioner | Uh Regional Hospitals | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Robert F Richardson Jr. | Neurology | University Primary Care Practices Inc | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Olga Khorishko | Certified Registered Nurse Anesthetist (crna) | University Primary Care Practices Inc | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Laura Lynn Ridgley | Nurse Practitioner | University Emergency Specialists of Bedford, LLC | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Illise Romaine Ferrell | Nurse Practitioner | Uh Regional Hospitals | 44 Blaine Ave, Bedford, OH 44146-2709 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonia L Tanio | General Practice | 5311 Northfield Rd, Suite 8, Bedford, OH 44146-1135 | |
| Haley Petri | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Christine E Mullen | Qualified Speech Language Pathologist | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Christina A Wronko | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Sandra Kristine Hazners | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Julie Neville | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Denee Marie Burton | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Carol M Jaworski | Qualified Speech Language Pathologist | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Cara Mauer | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Elizabeth Stringer | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 19455 Rockside Rd, Bedford, OH 44146-2000 |
| Find all physicians in zip 44146 | |||
| City | BEDFORD |
| Zip Code | 44146 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BEDFORD + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Edmundo Reyes Mandac.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.