RUDO P MADONDO-GWITIRA (NPI# 1396351474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396351474 |
| Entity Type | Individual |
| Full Name | RUDO P MADONDO-GWITIRA |
| Practice Address |
4201 Palmer Dr Mansfield TX 76063-3432 |
| Practice Telephone | 4692266283 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1014042 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4201 PALMER DR |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1992143549 | Philip U Ramirez | Family Medicine | 1601 E Debbie Ln Ste 2109, Mansfield, TX 76063-4130 | 2013-06-05 |
| 1396066171 | Jeffrey Urieto | Family Medicine | 1776 North Us 287, Suite 220, Mansfield, TX 76063 | 2010-06-16 |
| 1184882813 | Doyle Fairchild Gallman Jr. | Family Medicine | 2360 Highway 157 N, Mansfield, TX 76063-7540 | 2008-05-29 |
| 1699958579 | Pannaben H Nangha | Family Medicine | 221 Regency Pkwy, Suite 125, Mansfield, TX 76063-5165 | 2007-12-13 |
| 1992905376 | Joseph M Kim | Family Medicine | 1718 Us 287 Frontage Rd., Suite 200, Mansfield, TX 76063 | 2007-07-23 |
| 1487861738 | Erica L Sails | Family Medicine | 1757 Broad Park Cir N Ste 201, Mansfield, TX 76063-7839 | 2007-05-17 |
| 1578618492 | Doyle F Gallman Do Pa | Family Medicine | 2360 Fm 157 N, Mansfield, TX 76063-7540 | 2007-01-23 |
| 1689730996 | Patricia Charlene Laurie Brock | Family Medicine | 1420 Parkside Dr, Mansfield, TX 76063-8618 | 2006-12-29 |
| 1245303221 | Davis Family Practice | Family Medicine | 390 Marion Ave, Mansfield, OH 44903-2015 | 2006-11-16 |
| Find all providers in MANSFIELD | ||||
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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.