DR. TARA BETH MANCL (NPI# 1467655779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467655779 |
| Entity Type | Individual |
| Full Name | DR. TARA BETH MANCL |
| Credential | MD |
| Practice Address |
109 Bridge St Ste 202 Danville VA 24541-1222 |
| Mailing Address |
1000 Oakland Dr Kalamazoo MI 49008-1282 |
| Practice Telephone | 4347925964 |
| Mailing Telephone | 2693374400 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101263573 | VA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301085737 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301085737 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Oakland Dr, Kalamazoo, MI 490081282 | 2693374400 |
| Street Address |
109 BRIDGE ST STE 202 |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982906 | Lisa Marie Bradner | Nurse Practitioner | 109 Bridge St Ste 202, Danville, VA 24541-1222 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811284870 | Surgical Assist of Northern California | Surgery | 53 Saint Mark Ct, Danville, CA 94526-5326 | 2011-06-28 |
| 1598907743 | Halle Ellison | Surgery | 100 Justin Drive, Danville, PA 17822-7975 | 2009-04-02 |
| 1568627529 | Tamara T Myers | Surgery | 100 North Academy Avenue, Mc 21-70, Geisinger Medical Center, Department of General Surgery, Danville, PA 17821 | 2008-07-18 |
| 1235303256 | Maryfrances Koester | Surgery | Geisinger Medicial Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2008-04-22 |
| 1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
| 1558411199 | Lemoyne Rheul Pringle | Surgery | 998 E Main St Ste 101, Danville, IN 46122-1900 | 2007-01-12 |
| 1801944236 | Paul P Deluca | Surgery | 130 Daniel Drive, Danville, KY 40423-0129 | 2007-01-08 |
| 1194806620 | James Savage | Surgery | 800 N Logan Ave Ste 204, Danville, IL 61832-3741 | 2006-10-18 |
| 1255429221 | Serving Hands Inc | Surgery | 998 E Main St Ste 102, Danville, IN 46122-1900 | 2006-10-11 |
| 1619068673 | Southside Surgical Specialists PC | Surgery | 159 Executive Dr Ste B, Danville, VA 24541-4160 | 2006-09-27 |
| Find all providers in DANVILLE | ||||
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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.