DR. LARRY MANDERS (NPI# 1710393970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710393970 |
| Entity Type | Individual |
| Full Name | DR. LARRY MANDERS |
| Credential | MD |
| Practice Address |
Uw Hospitals & Clinics 600 Highland Ave Madison WI 53792 |
| Mailing Address |
Uw Hospitals & Clinics 600 Highland Ave Madison WI 53792-0001 |
| Practice Telephone | 2488980833 |
| Mailing Telephone | 2488980833 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 4301105804 | MI | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
68860-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2488980833 |
| Street Address |
UW HOSPITALS & CLINICS 600 HIGHLAND AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083680243 | Holly E Schaefer | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-5395 | 2006-02-27 |
| 1609489871 | Kusum Lata Sharma | Pathology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-27 |
| 1144841933 | Christina Bodison | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-05-03 |
| 1306466925 | James Nicholas Wolfe | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-23 |
| 1275153553 | Rudi Zurbuchen | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-16 |
| 1538789813 | Quinn E Strenn | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-16 |
| 1063031839 | Kelsey Nicole Franklin | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-13 |
| 1093334088 | Emily Smith Green | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-10 |
| 1568081479 | Nicholas Andrew Colwell | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-10 |
| 1144859315 | Michael John Gyorfi | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1700334745 | Krista Lee Rieger | Pharmacist | 600 Higland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2016-09-20 |
| 1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1417363888 | Jenna Bender | Pharmacist | 600 Highland Avenue, 1530, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2014-07-07 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
| Find all providers in zip 53792 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134778988 | Restorativ | Anesthesiology | 129 Fountains Blvd Ste 101, Madison, MS 39110-6361 | 2019-09-04 |
| 1356737464 | Michael Gibson | Anesthesiology | 700 S Park St, Madison, WI 53715-1830 | 2015-04-15 |
| 1124275565 | Comprehensive Pain Center of Mississippi | Anesthesiology | 129 Fountains Blvd, Madison, MS 39110 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309101 | Wisconsin Interventional Pain Solutions Sc | Anesthesiology | 2500 N Mayfair Rd Ste 325, Wauwatosa, WI 53226-1443 | 2017-07-18 |
| 1528402781 | Aspen Wellness and Pain Medicine Center | Anesthesiology | W176n9830 Rivercrest Dr Ste 102, Germantown, WI 53022-4692 | 2013-04-18 |
| 1720307283 | Andres Fernando Quitzon Jr. | Anesthesiology | 2245 W Brantwood Ave, Milwaukee, WI 53209 | 2010-05-24 |
| 1861688418 | Horizon Interventional Pain Physicians, Sc | Anesthesiology | 7071 S 13th St, Suite # 102, Oak Creek, WI 53154-1466 | 2007-09-18 |
| 1992800791 | Interventional Pain Specialists of Wisconsin, Sc | Anesthesiology | 2021 Cenex Dr, Suite J, Rice Lake, WI 54868-1891 | 2006-09-14 |
| 1275500910 | Saleem Awan | Anesthesiology | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2006-03-01 |
| 1871560581 | Yogendra Bharat | Anesthesiology | 2500 W Layton Ave Ste 170, Milwaukee, WI 53221-5433 | 2006-03-01 |
| 1871569830 | Roman Berezovski | Anesthesiology | 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 | 2006-02-28 |
| 1598762841 | Nathan C Meloy | Anesthesiology | 2700 W 9th Ave, Suite 205, Oshkosh, WI 54904-7247 | 2005-07-01 |
| 1922457803 | Holly Haberman | Anesthesiology | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LARRY MANDERS.
| 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.