Mandisa Molton (NPI# 1205282084, PAC ID# 3971864158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205282084 |
| PAC ID by PECOS | 3971864158 |
| Professional Enrollment ID | I20180305000479 |
| Full Name | Mandisa Molton |
| Organization Legal Name | OSH-OH PHYSICIANS GROUP PC |
| Address |
10553 Saint Clair Ave Cleveland OH 44108-1973 |
| Phone Number | 2166827702 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759639693 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2166827702 | OSH-OH PHYSICIANS GROUP PC |
| Organization Legal Name | OSH-OH PHYSICIANS GROUP PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramon Pla Varona | Internal Medicine | Osh-oh Physicians Group PC | 10688 Lorain Ave, Cleveland, OH 44111-5411 |
| Olaoluwa Oladipo Fayanju | Family Medicine | Osh-oh Physicians Group PC | 4071 Lee Rd, Cleveland, OH 44128-2100 |
| Vaquet A Shomo | Nurse Practitioner | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Adam D Rhodes | General Practice | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Rita E Fritz | Nurse Practitioner | Osh-oh Physicians Group PC | 10688 Lorain Ave, Cleveland, OH 44111-5411 |
| Ruth A Chaza-ndlovu | Nurse Practitioner | Osh-oh Physicians Group PC | 4071 Lee Rd, Cleveland, OH 44128-2100 |
| Robert J Cromley | Family Medicine | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Bradley T Banko | Family Medicine | Osh-oh Physicians Group PC | 4071 Lee Rd, Cleveland, OH 44128-2100 |
| Taryn Lee | Internal Medicine | Osh-oh Physicians Group PC | 10688 Lorain Ave, Cleveland, OH 44111-5411 |
| Street Address |
10553 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip | 44108-1973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vaquet A Shomo | Nurse Practitioner | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Adam D Rhodes | General Practice | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Robert J Cromley | Family Medicine | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faried Muntaser | Podiatry | Glenville Foot and Ankle Center, Inc. | 10701 Saint Clair Ave, Cleveland, OH 44108-1934 |
| Sai Man Lee | Podiatry | Glenville Foot and Ankle Center, Inc. | 10701 Saint Clair Ave, Cleveland, OH 44108-1934 |
| Marion E Craig | Nurse Practitioner | Metrohealth System | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 |
| Elizabeth P Cottom | Nurse Practitioner | Metrohealth System | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 |
| Charles Henri Mbala Ondobo | Nurse Practitioner | Northeast Ohio Neighborhood Health Services, Inc. | 625 E 105th St, Suite 102, Cleveland, OH 44108-4141 |
| City | CLEVELAND |
| Zip Code | 44108 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEVELAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mandisa Molton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.