DR. STEPHEN ERNEST MANDIA (NPI# 1558356121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558356121 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ERNEST MANDIA |
| Credential | M.D. |
| Practice Address |
601 E Rollins St Orlando FL 32803 |
| Mailing Address |
601 E Rollins St Orlando FL 32803-1248 |
| Practice Telephone | 4078973499 |
| Practice Fax Number | 4078969454 |
| Mailing Telephone | 4078973499 |
| Mailing Fax Number | 4078969454 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | GFE66696 | CA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 0101056778 | VA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | ME0046763 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | AM3226087 | 01 |
| GA | 76968864A | 05 | |
| CA | DEA | FM0527638 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 655 W 8th Streetl, Ufjp Surgery - Urology, Jacksonville, FL 322096511 | 9042443905 | 9042443870 |
| Street Address |
601 E ROLLINS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739522 | David Kos | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-05-23 |
| 1063013845 | Samuel Acosta | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-11-06 |
| 1972110641 | Laura Nazario | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-28 |
| 1710593561 | Ambber Marie Harms | Advanced Practice Midwife | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-17 |
| 1598375628 | Brent Windrow | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-04 |
| 1689284929 | Brianne Beacham | Anesthesiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-02 |
| 1205444569 | Jamie Matthew Litteral | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-07-22 |
| 1639794761 | Idna Angervil | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-06-15 |
| 1316567597 | Bryn Nadeau | Occupational Therapist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| 1457971665 | Brooke Ashley Koopman | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982919056 | Florida Urology Group Pa | Urology | 226 W Michigan St, Orlando, FL 32806-4446 | 2010-08-13 |
| 1790017010 | Dwarka Nath Mishra | Urology | 9975 Lake Georgia Dr, Orlando, FL 32817 | 2010-02-11 |
| 1033265392 | Florida Urology Group, P.a. | Urology | 2690 Orange Peel Court, Attn: Lee B. Cecil, Cpcs, Orlando, FL 32806 | 2007-01-26 |
| 1558417808 | Patrick T. Hunter | Urology | 226 West Michigan Street, Orlando, FL 32806 | 2007-01-26 |
| 1922168830 | Gaines Wardlaw Hammond Jr. | Urology | 303 E Par St, Orlando, FL 32804-4003 | 2006-12-11 |
| 1326120783 | Pasquale Casale | Urology | 615 E Princeton St Ste 310, Orlando, FL 32803-1468 | 2006-10-19 |
| 1093815797 | Urology Associates, P.a. | Urology | 11 W Columbia Street, Orlando, FL 32806 | 2006-09-22 |
| 1023041332 | Nabil Hilwa | Urology | 7301 Stonerock Cir, Orlando, FL 32819-8004 | 2006-07-09 |
| 1932131752 | Cletus R Georges | Urology | 1812 N. Mills Ave., Orlando, FL 32803 | 2006-07-06 |
| 1275578395 | Mid-florida Urological Associates Pa | Urology | 1616 Woodward St, Orlando, FL 32803-4142 | 2006-06-20 |
| Find all providers in ORLANDO | ||||
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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.