MR. ALBERT J. MANVILLE (NPI# 1912971862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912971862 |
| Entity Type | Individual |
| Full Name | MR. ALBERT J. MANVILLE |
| Credential | PA |
| Practice Address |
2331 Franklin Rd Sw Roanoke VA 24014-1111 |
| Practice Telephone | 5407251226 |
| Practice Fax Number | 5408575306 |
| Mailing Telephone | 5407251226 |
| Mailing Fax Number | 5408575306 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2016-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-001242 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | 1912971862 | 01 |
| VA | HUMANA MEDICARE | 1912971862 | 01 |
| VA | UMWA | 1912971862 | 01 |
| VA | RAILROAD MEDICARE | P00191374 | 01 |
| VA | ANTHEM MEDIGAP | 1912971862 | 01 |
| VA | CCC VIRGINIA PREMIER | 1912971862 | 01 |
| VA | BLACK LUNG | 371194700 | 01 |
| VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | 1912971862 | 01 |
| VA | TRICARE/CHAMPUS | 540506332108 | 01 |
| VA | OPTIMA HEALTH PLAN | 1912971862 | 01 |
| VA | MEDICAID QMB | 1912971862 | 01 |
| VA | INTOTAL | 1912971862 | 01 |
| Street Address |
2331 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1639717093 | Quin Sweeney | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-12-17 |
| 1518522952 | Kelsey Mcwey | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-05-01 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1508374232 | Hope Anna Marie Poetker | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-16 |
| 1730695990 | Tabitha Saunders | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-12-22 |
| 1730692591 | Eric Olsen | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-11-14 |
| 1205345097 | Kathryn Sandifer | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-09-25 |
| 1841718871 | Brooke Ellyn Martin | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
| 1275159287 | Paige Alexandra Hamay | Physician Assistant | 206 Williamson Rd Se Apt 227, Roanoke, VA 24011-1812 | 2020-06-25 |
| 1396360624 | Hannah Barnhill | Physician Assistant | 943 Murray Ave Se, Roanoke, VA 24013-1841 | 2020-06-12 |
| 1922623297 | Grace G Krotkov | Physician Assistant | 3410 Chaparral Dr Apt 133, Roanoke, VA 24018-4930 | 2020-06-12 |
| 1639791270 | Megan Thorn | Physician Assistant | 502 Allison Ave Sw Apt 5, Roanoke, VA 24016-4547 | 2020-05-16 |
| 1952923914 | Sydney Lucille Hughes Adams | Physician Assistant | 928 2nd St Sw Apt 1, Roanoke, VA 24016-4420 | 2020-05-13 |
| 1780206268 | Katherine Cole | Physician Assistant | 16 Old Whitmore Ave Se Apt 507, Roanoke, VA 24016-1236 | 2020-05-07 |
| 1205457033 | Kristin Marie Sammons | Physician Assistant | 6430 Archcrest Dr Apt 107, Roanoke, VA 24019-1185 | 2020-05-04 |
| 1407480460 | Amanda Joy Wheeler | Physician Assistant | 3626 Belle Ave Ne, Roanoke, VA 24012-6408 | 2020-02-28 |
| 1356981625 | Ryan Maurer Short | Physician Assistant | 1615 Westover Ave Sw # A, Roanoke, VA 24015-5215 | 2020-01-14 |
| Find all providers in ROANOKE | ||||
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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.