Physician Compare National (NPI:1558369553)

HEALTHCARE PROVIDER: DAVID R MANDEL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558369553
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173592706
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100315000079
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANDEL
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	RALPH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	320 CTR ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	CHARDON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	440241165
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360230
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HILLCREST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360098
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAKE HEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360125
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ASHTABULA COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360192
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	UH GEAUGA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	361307
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	UH GENEVA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1558369553)

HEALTHCARE PROVIDER: DAVID R MANDEL M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information