DR. TYLER MANCIL (NPI# 1154871275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154871275 |
| Entity Type | Individual |
| Full Name | DR. TYLER MANCIL |
| Credential | DPM |
| Practice Address |
1150 Robert Blvd Ste 190 Slidell LA 70458-2064 |
| Practice Telephone | 9856490002 |
| Practice Fax Number | 9856490034 |
| Mailing Telephone | 9856490002 |
| Mailing Fax Number | 9856490034 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM.200077 | LA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1150 ROBERT BLVD STE 190 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972558500 | William H Dabdoub | Podiatrist | 1150 Robert Blvd Ste 190, Slidell, LA 70458-2064 | 2006-05-23 |
| 1386197184 | Zohreh Mancil | Podiatrist | 1150 Robert Blvd Ste 190, Slidell, LA 70458-2064 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962623215 | Robert Victor Cadogan | Podiatrist | 3160 Meadow Lake Dr E, Slidell, LA 70461-5552 | 2007-05-02 |
| 1962589200 | Dr. Steve J. Watson &dr. William H. Dabdoub, Apmc | Podiatrist | 108 Smart Pl, Suite A, Slidell, LA 70458-2040 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1437780939 | Louisiana Foot and Ankle Surgeons, LLC | Podiatrist | 401 Veterans Blvd Ste 207, Metairie, LA 70005-2957 | 2020-02-03 |
| 1326682089 | Center for Orthopaedics and Spine LLC | Podiatrist | 250 Beglis Pkwy Ste 1, Sulphur, LA 70663-3503 | 2019-11-05 |
| 1275063703 | Dr Rene J Hymel Dpm LLC | Podiatrist | 2101 Robin Ave Ste 11, Hammond, LA 70403-5773 | 2017-06-18 |
| 1205369840 | Christian Antonio Valle | Podiatrist | 3601 Desiard St, Monroe, LA 71203-4352 | 2017-04-11 |
| 1134576754 | Gabrielle Sharon Clark | Podiatrist | 10555 Lake Forest Blvd Ste 3a-b, New Orleans, LA 70127-5206 | 2016-05-24 |
| 1497141311 | Pelican State Foot & Ankle Care LLC | Podiatrist | 1938 Jackson St, Alexandria, LA 71301-6437 | 2015-04-07 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| 1457773863 | Edugie Valentine Omoregbee | Podiatrist | 203 W Brentwood Blvd Ste 2, Lafayette, LA 70506-6190 | 2014-01-20 |
| 1245503119 | Gentry Haughton LLC | Podiatrist | 600 Unadilla St, Shreveport, LA 71106-1242 | 2012-02-22 |
| Find all providers with the same taxonomy | ||||
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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.