DR. ANUPA MANDAVA (NPI# 1710257316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710257316 |
| Entity Type | Individual |
| Full Name | DR. ANUPA MANDAVA |
| Credential | M.D. |
| Practice Address |
1935 Bluegrass Ave Ste 200 Louisville KY 40215-1181 |
| Practice Telephone | 5023640033 |
| Practice Fax Number | 5023614488 |
| Mailing Telephone | 5023640033 |
| Mailing Fax Number | 5023614488 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 50737 | KY | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 23781 | MS | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | E9162 | AR | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 52580 | TN | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
50737 | KY | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
E9162 | AR | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
23781 | MS | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
52580 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q013565 | 05 | |
| IN | 300008335 | 05 | |
| MS | 02874370 | 05 | |
| KY | 7100498500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Johnstown Rd Ste 102, Elizabethtown, KY 427013925 | 2707690099 | 5023614488 |
| 6400 Westwind Way, Crestwood, KY 400146773 | 5022432227 | |
| 9200 Leesgate Rd Ste 100, Louisville, KY 402225173 | 5028950040 | 5023614488 |
| 95 Quartermaster Ct, Jeffersonville, IN 471303623 | 8122840077 | 5023614488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659662906 | Anupa Rani Mandava | Hospitalist | 750 E Adams St, Syracuse, NY 13210-2342 | 2011-04-20 |
| Street Address |
1935 BLUEGRASS AVE STE 200 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336758127 | Paul Austin Eckel | Optometrist | 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | 2020-07-28 |
| 1679190060 | William Tyler Gibson | Optometrist | 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | 2020-07-01 |
| 1295257707 | Keith R Slayden | Optometrist | 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | 2017-07-17 |
| 1356788426 | Aparna S Patel | Ophthalmology | 1935 Bluegrass Ave Ste 200, Louisville, KY 40215 | 2013-05-30 |
| 1497017867 | Janelle Marie Fassbender Adeniran | Ophthalmology | 1935 Bluegrass Ave Ste 200, Louisville, KY 40215 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508133174 | Donald L. Kellum | Ophthalmology | 410 Orchard Dr, Louisville, CO 80027-3248 | 2011-11-25 |
| 1720376338 | Thong Diep Pham | Ophthalmology | 301 East Muhammad Ali Boulevard, Louisville, KY 40201 | 2011-07-17 |
| 1851622914 | Martha K Heyburn | Ophthalmology | 3719 Fairway Ln, Louisville, KY 40207-1414 | 2010-01-28 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1649431560 | Broadway Eye Care Associates, Psc | Ophthalmology | 2600 W Broadway Ste 105, Louisville, KY 40211-1303 | 2008-06-23 |
| 1164682084 | Anne P Rowland | Ophthalmology | 9200 Leesgate Rd Ste 100, Louisville, KY 40222-5173 | 2008-06-13 |
| 1093998171 | M. Douglas Gossman, Md, Pllc | Ophthalmology | 2302 Hurstbourne Village Dr Ste 700, Louisville, KY 40299-1878 | 2007-12-11 |
| 1801096136 | Kentucky Pediatric Ophthalmology and Strabismus, Pllc | Ophthalmology | 1102 Lyndon Ln, Suite A, Louisville, KY 40222-4318 | 2007-07-24 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| 1811102080 | Gregory Michael Sulkowski | Ophthalmology | 1169 Eastern Pkwy Ste 3427, Louisville, KY 40217-1420 | 2007-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.