DR. JOHN D. MANDEVILLE (NPI# 1306017959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306017959 |
| Entity Type | Individual |
| Full Name | DR. JOHN D. MANDEVILLE |
| Credential | DO |
| Practice Address |
1965 Jefferson Davis Hwy Fredericksburg VA 22401-6213 |
| Mailing Address |
1965 Jefferson Davis Hwy Attn: Managed Care Planning Fredericksburg VA 22401-6213 |
| Practice Telephone | 5407350560 |
| Mailing Telephone | 5407350560 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2017-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102204737 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2014-01055 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811986060 | John T H Mandeville | Ophthalmology | 97 Libbey Industrial Pkwy Ste 100, East Weymouth, MA 02189-3110 | 2005-10-20 |
| Street Address |
1965 JEFFERSON DAVIS HWY |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-6213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386678811 | Heather Rene O'quinn | Chiropractor | 1965 Jefferson Davis Hwy, Suite 200b, Fredericksburg, VA 22401-6213 | 2006-07-10 |
| 1063921898 | Carrie A Schaefer | Nurse Practitioner | 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401-6213 | 2017-09-25 |
| 1821527516 | Therese Podgorski | Registered Nurse | 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401 | 2017-06-07 |
| 1093259590 | Nicole Pernod-liboy | Psychologist | 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401-6213 | 2016-12-19 |
| 1104293711 | Crystal Chance | Social Worker | 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401 | 2015-08-31 |
| 1346590510 | 360 Health and Rehab | Chiropractor | 1965 Jefferson Davis Hwy, Ste 200b, Fredericksburg, VA 22401 | 2012-09-14 |
| 1386965473 | Son T Duong | Dentist | 1965 Jefferson Davis Hwy, Suite 100, Fredericksburg, VA 22401 | 2010-06-13 |
| 1467788687 | Sarah-ann Eng | Chiropractor | 1965 Jefferson Davis Hwy, Suite 2008, Fredericksburg, VA 22401 | 2009-10-22 |
| 1790917540 | Accident, Injury & Pain Wellness Center, P.C. | Chiropractor | 1965 Jefferson Davis Hwy, Suite 200b, Fredericksburg, VA 22401-6213 | 2009-08-12 |
| 1073778973 | Jonathan Yoder | Nurse Practitioner | 1965 Jefferson Davis Hwy, Suite 100, Fredericksburg, VA 22401-3353 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| 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 |
|---|---|---|---|---|
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1477905784 | Metropolitan Health Care Providers, Inc | Family Medicine | 12702 Maxwell Ct, Fredericksburg, VA 22407-2272 | 2016-07-11 |
| 1497106504 | Centercare Family Practice, LLC | Family Medicine | 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2016-06-29 |
| 1477933851 | Hill Country Integrative Medicine | Family Medicine | 1603 E Main St Unit A, Fredericksburg, TX 78624-5450 | 2015-06-01 |
| 1043563174 | Primary and Urgent Care LLC | Family Medicine | 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 | 2012-10-26 |
| 1225322639 | Raymond Smith | Family Medicine | 608 Royal Oaks Loop, Fredericksburg, TX 78624-6663 | 2011-06-02 |
| 1649414137 | Donna Roxanne Richards | Family Medicine | 21 Dabney Ct, Fredericksburg, VA 22405-2173 | 2009-04-28 |
| 1235375007 | Nicquia Spain | Family Medicine | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 | 2008-12-30 |
| 1952520330 | Naeem Ahmad | Family Medicine | 4510 Plank Rd, Suite 200, Fredericksburg, VA 22407-0138 | 2007-04-24 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.