BERNARD MANATU (NPI# 1518971845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518971845 |
| Entity Type | Individual |
| Full Name | BERNARD MANATU |
| Credential | MD |
| Practice Address |
320 Cloverleaf Sq Bldg D3 Big Stone Gap VA 24219-2752 |
| Mailing Address |
Po Box 664 Norton VA 24273-0664 |
| Practice Telephone | 2765241785 |
| Practice Fax Number | 2765241787 |
| Mailing Telephone | 2765241785 |
| Mailing Fax Number | 2765241787 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101046823 | VA | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0101046823 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0101046823 | 05 |
| Street Address |
320 CLOVERLEAF SQ BLDG D3 |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447222922 | Michael C Vacco | Pediatrics | 1980 Holton Ave E, Suite 203, Big Stone Gap, VA 24219-3366 | 2006-02-07 |
| 1265653091 | Rhonda Kincaid Bass | Pediatrics | 3169 2nd Avenue East, Big Stone Gap, VA 24219 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1134738602 | Lolita Lopez | Pediatrics | 43547 Freeport Pl, Sterling, VA 20166-2160 | 2020-07-30 |
| 1184252330 | Arlene Marie Lorica | Pediatrics | 7902 Tysons One Pl Unit 2613, Mc Lean, VA 22102-5239 | 2020-03-31 |
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1649817636 | Susan Jane Argyle | Pediatrics | 7501 Little River Tpke Ste 202, Annandale, VA 22003-2923 | 2019-12-09 |
| 1003477621 | Deborah Williams Ward | Pediatrics | 1810 Plain View Rd, Henrico, VA 23238-4152 | 2019-06-25 |
| 1467012120 | Keith Henry | Pediatrics | 23458 Cool Water Dr, Ruther Glen, VA 22546-3325 | 2019-06-15 |
| Find all providers with the same taxonomy | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
Please comment or provide details below to improve the information on BERNARD MANATU.
| 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.