DR. M STEPHEN MANDELL JR. (NPI# 1548252273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548252273 |
Entity Type | Individual |
Full Name | DR. M STEPHEN MANDELL JR. |
Credential | M.D. |
Practice Address |
121 Courthouse Ln Bowling Green VA 22427-9336 |
Mailing Address |
Po Box 450 Bowling Green VA 22427-0450 |
Practice Telephone | 8046335840 |
Practice Fax Number | 8046334438 |
Mailing Telephone | 8046335840 |
Mailing Fax Number | 8046334438 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 0101034535 | VA | Allopathic & Osteopathic Physicians |
Street Address |
121 COURTHOUSE LN |
City | BOWLING GREEN |
State | VA |
Zip Code | 22427-9336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316462815 | Taylor Johnson | Physical Therapist | 121 Courthouse Ln, Bowling Green, VA 22427-9336 | 2017-08-07 |
1386180008 | Jacqueline Morgan | Physical Therapist | 121 Courthouse Ln, Bowling Green, VA 22427-9336 | 2017-01-19 |
1639135494 | Kristi Michelle Maupin | Physical Therapist | 121 Courthouse Ln, Bowling Green, VA 22427-9336 | 2006-04-21 |
1790761302 | Daniel William Woodford | Internal Medicine | 121 Courthouse Ln, Bowling Green, VA 22427-9336 | 2005-12-16 |
1942292511 | Antonio E Valdes Dapena | Family Medicine | 121 Courthouse Ln, Bowling Green, VA 22427-9336 | 2005-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811508 | Elvia Arevalo | Dentist | Ingenieros 201-6, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
1225639784 | Pamela Moreno | Dentist | Calzada Tecnologico 13701, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
1639725963 | Paul T Harvey | Internal Medicine | Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 | 2019-08-13 |
1760960033 | Melissa Macias | Dentist | Tecnologico #14527 L 34, Tijuana, BAJA CALIFORNIA 22427 | 2018-07-30 |
1386158319 | Karla Castillo | Dentist | Calzada Tecnologico 811, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2017-11-29 |
1609327527 | Jessica Y Figueroa Diaz | Dentist | Calle Sociologos # 308, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2016-10-14 |
1639476989 | Barbara Helen Hiestand | Social Worker | 102 West Broaddus Ave. Ste. 200, Bowling Green, VA 22427 | 2011-02-23 |
1295891513 | Latisha Shintrell Martin | Dentist | 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427 | 2006-12-29 |
1811092109 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 102 Broaddus Avenue, Bowling Green, VA 22427 | 2006-09-13 |
1629181557 | Medical Facilities of America Xl | Skilled Nursing Facility | 120 Anderson Ave., Bowling Green, VA 22427 | 2006-08-16 |
Find all providers in zip 22427 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
1639725963 | Paul T Harvey | Internal Medicine | Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 | 2019-08-13 |
1437609104 | Commonwealth Health Corporation, Inc. | Internal Medicine | 1681 Normal Dr, Bowling Green, KY 42101-1041 | 2016-10-06 |
1952734451 | Umar Khan Md Pllc | Internal Medicine | 440 High Street, Bowling Green, KY 42101 | 2013-08-20 |
1962775767 | Maumee Valley Internist Inc | Internal Medicine | 960 W Wooster St Ste 205, Bowling Green, OH 43402-2650 | 2012-02-10 |
1235428574 | Tanya Shoaib | Internal Medicine | 407 Autumnstone Ln, Bowling Green, KY 42103-6004 | 2011-04-06 |
1750511051 | Rishi Agarwal | Internal Medicine | 350 Park St Ste 206, Bowling Green, KY 42101-1784 | 2009-07-21 |
1073776373 | Sara L Chou | Internal Medicine | 207 Red Cedar Way, Bowling Green, KY 42104-8793 | 2008-07-07 |
1912110594 | Michael Brian Humble | Internal Medicine | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2007-05-08 |
1477571925 | Sam Reddy Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | 2006-07-17 |
Find all providers in BOWLING GREEN |
City | BOWLING GREEN |
Zip Code | 22427 |
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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.