ARIE MANTIN (NPI# 1629064191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629064191 |
| Entity Type | Individual |
| Full Name | ARIE MANTIN |
| Credential | MD |
| Practice Address |
2245 Lewisville Clemmons Rd Clemmons NC 27012-7461 |
| Practice Telephone | 3367128225 |
| Practice Fax Number | 3367128227 |
| Mailing Telephone | 3367128225 |
| Mailing Fax Number | 3367128227 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2000-00535 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89136M4 | 05 |
| Street Address |
2245 LEWISVILLE CLEMMONS RD |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-7461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104853654 | Thomas Martin Anderson Jr. | Dentist | 2245 Lewisville Clemmons Rd, Suite B, Clemmons, NC 27012-7464 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| 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 |
|---|---|---|---|---|
| 1518141407 | Clemmons Urgent and Primary Care, Pa | Family Medicine | 2245 Lewisville Clemmons Rd Ste C, Clemmons, NC 27012-7461 | 2007-12-27 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1346208113 | Travis Worth Howell | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012 | 2006-05-02 |
| 1205473261 | Novant Medical Group. Inc. | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2019-12-09 |
| 1710547369 | Novant Medical Group, Inc. | Family Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2019-06-17 |
| 1629506449 | Novant Medical Group, Inc | Family Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2017-05-24 |
| 1114332293 | Forsyth Memorial Hospital | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2014-06-26 |
| 1972915510 | Piedmont Community Physicians PC | Family Medicine | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2014-06-02 |
| 1386056067 | David M Villanueva | Family Medicine | 2311 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2014-05-29 |
| 1649512922 | Carolina Medicorp Enterprises, Inc | Family Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2013-03-25 |
| Find all providers in CLEMMONS | ||||
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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.