BLANKA DIVISOVA (NPI# 1023085644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023085644 |
| Entity Type | Individual |
| Full Name | BLANKA DIVISOVA |
| Credential | M.D. |
| Practice Address |
613 W Main St Manchester IA 52057-1527 |
| Mailing Address |
709 W Main St Manchester IA 52057-1526 |
| Practice Telephone | 5639272629 |
| Mailing Telephone | 5639272629 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35347 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1271270 | 05 |
| Street Address |
613 W MAIN ST |
| City | MANCHESTER |
| State | IA |
| Zip Code | 52057-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379279 | Jane A Hartnett | Family Medicine | 613 W Main St, Manchester, IA 52057-1527 | 2005-07-08 |
| 1356726475 | Delaware County Memorial Hospital | Public Health or Welfare | 613 W Main St, Manchester, IA 52057-1527 | 2015-07-30 |
| 1134182140 | Delaware County Memorial Hospital | Hospice Care, Community Based | 613 W Main St, Manchester, IA 52057-1527 | 2006-04-10 |
| 1063475127 | Delaware County Memorial Hospital | Home Health | 613 W Main St, Manchester, IA 52057-1527 | 2006-04-10 |
| 1568460178 | Jill L Buschmann | Nurse Practitioner | 613 W Main St, Manchester, IA 52057-1527 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
| 1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
| 1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
| 1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
| Find all providers in zip 52057 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 52057 |
Please comment or provide details below to improve the information on BLANKA DIVISOVA.
| 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.