MANDELL RETINA CENTER PC (NPI# 1861525305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861525305 |
| Entity Type | Organization |
| Organization Name | MANDELL RETINA CENTER PC |
| Practice Address |
397 Little Neck Rd 3300 South Building Suite 202 Virginia Beach VA 23452-5765 |
| Practice Telephone | 7572274300 |
| Practice Fax Number | 7574863125 |
| Mailing Telephone | 7572274300 |
| Mailing Fax Number | 7574863125 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | DR. BARRY ALAN MANDELL (PRESIDENT) |
| Authorized Official Telephone | 7572274300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE | C10134 | 01 |
| Street Address |
397 LITTLE NECK RD 3300 SOUTH BUILDING SUITE 202 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-5765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886843 | Louis Andrew Fernandez | Chiropractor | 397 Little Neck Rd, Building 3400, Suite 108, Virginia Beach, VA 23452-5765 | 2005-07-29 |
| 1225499676 | Michelle Gideon | Nurse Practitioner | 397 Little Neck Rd, Suite 100, Virginia Beach, VA 23452-5765 | 2016-03-14 |
| 1942603147 | Jdg Medicine | Family Medicine | 397 Little Neck Rd, 3300 South Building, Suite 314, Virginia Beach, VA 23452-5765 | 2014-10-01 |
| 1558641415 | Kara A Kelton | Physician Assistant | 397 Little Neck Rd, Ste 110, Virginia Beach, VA 23452-5765 | 2011-08-24 |
| 1366769911 | Adam T. Lipman | Internal Medicine | 397 Little Neck Rd, 3300 South Building, Suite 202, Virginia Beach, VA 23452-5765 | 2010-04-22 |
| 1043535602 | Siddharth Kishore Bhende | Surgery | 397 Little Neck Rd, 3300 South Building Suite 120, Virginia Beach, VA 23452-5765 | 2010-04-06 |
| 1760704126 | Dynamic Health Services | Clinic/Center | 397 Little Neck Rd, Bldg 3300 Suite 100, Virginia Beach, VA 23452-5765 | 2010-02-25 |
| 1457586133 | Tiffany Logan Jeffries-fernandez | Chiropractor | 397 Little Neck Rd, Bld 3400, Ste 108, Virginia Beach, VA 23452-5765 | 2009-05-24 |
| 1578722476 | Edwin Stuart Epstein | Dermatology | 397 Little Neck Rd, Suite 107, Virginia Beach, VA 23452-5765 | 2008-06-05 |
| 1538330071 | Lorri Annette Howard | Nurse Practitioner | 397 Little Neck Rd, 3300 South Building, Virginia Beach, VA 23452-5765 | 2008-03-12 |
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| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
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| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.