JORDAN DAVID MANDEL (NPI# 1962590125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962590125 |
| Entity Type | Individual |
| Full Name | JORDAN DAVID MANDEL |
| Credential | MD |
| Practice Address |
4710 W Loomis Rd Greenfield WI 53220-4823 |
| Practice Telephone | 4144331000 |
| Practice Fax Number | 4144330195 |
| Mailing Telephone | 4144331000 |
| Mailing Fax Number | 4144330195 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 32480 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31878700 | 05 |
| Street Address |
4710 W LOOMIS RD |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770695017 | Henry Marion Alba | Physical Medicine & Rehabilitation | 4710 W Loomis Rd, Greenfield, WI 53220-4823 | 2006-08-31 |
| 1720112402 | Pain Management Center of Wisconsin,s.c. | Physical Medicine & Rehabilitation | 4710 W Loomis Rd, Greenfield, WI 53220-4823 | 2007-03-15 |
| 1679685945 | Henry Nahum Rosler | Physical Medicine & Rehabilitation | 4710 W Loomis Rd, Greenfield, WI 53220-4823 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770695017 | Henry Marion Alba | Physical Medicine & Rehabilitation | 4710 W Loomis Rd, Greenfield, WI 53220-4823 | 2006-08-31 |
| 1184857088 | Associates In Spinal Relief, S.c. | Physical Medicine & Rehabilitation | 8081 W Layton Ave, Greenfield, WI 53220-3712 | 2009-08-26 |
| 1225244668 | Elizabeth Polacheck Md Sc | Physical Medicine & Rehabilitation | 8575 W Forest Home Ave, Suite 50, Greenfield, WI 53228-3469 | 2007-05-15 |
| 1720112402 | Pain Management Center of Wisconsin,s.c. | Physical Medicine & Rehabilitation | 4710 W Loomis Rd, Greenfield, WI 53220-4823 | 2007-03-15 |
| 1528115250 | Elizabeth Anne Polacheck | Physical Medicine & Rehabilitation | 3033 W Layton Ave, Ste 201, Greenfield, WI 53221-2628 | 2007-01-04 |
| 1679685945 | Henry Nahum Rosler | Physical Medicine & Rehabilitation | 4710 W Loomis Rd, Greenfield, WI 53220-4823 | 2006-08-31 |
| 1710993837 | Jerome Lerner | Physical Medicine & Rehabilitation | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2051 | 2006-07-31 |
| 1629010947 | Brett C Hynninen | Physical Medicine & Rehabilitation | 55 Federal St, Greenfield, MA 01301-2546 | 2006-06-12 |
| 1487606166 | Sanjay K Sharma | Physical Medicine & Rehabilitation | 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720610389 | Big Stone Medical LLC | Physical Medicine & Rehabilitation | 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406-4956 | 2020-02-11 |
| 1235782152 | Industrial Therapy Solutions LLC | Physical Medicine & Rehabilitation | 4915 W Grande Market Dr, Appleton, WI 54913-8525 | 2019-07-19 |
| 1508347287 | Tyler James Syltie | Physical Medicine & Rehabilitation | 4855 W Electric Ave, West Milwaukee, WI 53219-1628 | 2018-08-22 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1730601493 | Baycare Clinic LLP | Physical Medicine & Rehabilitation | 10624 N Port Washington Rd, Mequon, WI 53092-5049 | 2017-07-13 |
| 1235659343 | Anders Hendricks | Physical Medicine & Rehabilitation | 5708 75th St Ste B, Kenosha, WI 53142-3635 | 2017-06-21 |
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
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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.