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EDMUNDO R MANDAC MD
NPI 1215998463
Emergency Medicine in Willoughby, OH

Active since March 29, 2006
36000 EUCLID AVE, WILLOUGHBY, OH 44094(440) 953-6203(440) 953-6202 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edmundo R Mandac Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMUNDO R MANDAC MD (NPI 1215998463) is an individual emergency medicine provider in Willoughby, Ohio, licensed in Ohio (35044596M) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1215998463
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameEDMUNDO R MANDACCredential: MD
Location Address36000 EUCLID AVEWilloughby, OH 44094
Mailing Address24701 Euclid Ave, 3rd FloorEuclid, OH 44117-1714
Phone(440) 953-6203
Fax(440) 953-6202
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 15, 2011
✔ NPI 1215998463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35044596M
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
36000 EUCLID AVE, Willoughby, OH 44094
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Other Identifiers 3

Medicare UPINE48116
Medicaid0532767OH
Medicare PINMA0657067OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES ARTHUR LIGGETT JR. DO
Emergency Medicine
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9600
DR. JOYCE ARLENE WEST MD
Pathology (Anatomic Pathology & Clinical Pathology)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 354-4208
MRS. BONNIE LYNN BROIDA PA
Physician Assistant
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-6240
MRS. KIM HEARN-VANCE LISW-S
Social Worker (Clinical)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 251-9027
GEORGE LIVINGSTON PA
Physician Assistant
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-6203
OHIO EM-I MEDICAL SERVICES, PROFESSIONAL ASSOCIATION
Physician Assistant
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9600
MOLLY L HEARN LSW
Social Worker (Clinical)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 354-8934
DORNICE IVANNA FRIDAY MSW, LW
Social Worker (Clinical)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmundo Mandac's NPI number?

The NPI number for Edmundo Mandac is 1215998463. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Edmundo Mandac located?

Edmundo Mandac practices at 36000 Euclid Ave, Willoughby, OH 44094. The listed phone number is (440) 953-6203.

What is Edmundo Mandac's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Edmundo Mandac accept?

Health plans from CareSource list Edmundo Mandac as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edmundo Mandac was last updated on July 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.