DAVID J MANSOUR (NPI# 1104923762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104923762 |
Entity Type | Individual |
Full Name | DAVID J MANSOUR |
Credential | MD |
Practice Address |
7800 Pearl Rd Metrohealth Middleburg Heights Health Center Middleburg Heights OH 44130-6552 |
Mailing Address |
7800 Pearl Rd Metrohealth Strongsville Medical Group Middleburg Heights OH 44130-6552 |
Practice Telephone | 2169579700 |
Mailing Telephone | 2169579700 |
Enumeration Date | 2006-09-17 |
Last Update Date | 2014-02-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 35069486M | OH | Allopathic & Osteopathic Physicians |
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
35069486 | OH | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 35069486M | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2069484 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689164949 | David Mansour | Internal Medicine | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2018-05-12 |
1194925701 | David Mansour | Dentist | 914 Emmett St, Kissimmee, FL 34741-5436 | 2007-07-21 |
Street Address |
7800 PEARL RD METROHEALTH MIDDLEBURG HEIGHTS HEALTH CENTER |
City | MIDDLEBURG HEIGHTS |
State | OH |
Zip Code | 44130-6552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669400685 | David M Kuentz | Internal Medicine | 7800 Pearl Rd, Middleburg Heights, OH 44130-6552 | 2006-06-29 |
1821497306 | Metrohealth System | Pharmacy | 7800 Pearl Rd, Middleburg Heights, OH 44130-6552 | 2014-08-20 |
1912316100 | William Selig | Nurse Practitioner | 7800 Pearl Rd, Middleburg Heights, OH 44130-6552 | 2014-08-13 |
1033524244 | Brian Tomcany Sr. | Nurse Practitioner | 7800 Pearl Rd, Middleburg Heights, OH 44130-6552 | 2014-06-25 |
1083788533 | Holly B Perzy | Internal Medicine | 7800 Pearl Rd, Middleburg Heights, OH 44130-6552 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
Find all providers in zip 44130 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
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. |
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 |
City | MIDDLEBURG HEIGHTS |
Zip Code | 44130 |
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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.