MANCHESTER SURGICAL ASSOC (NPI# 1205912102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205912102 |
| Entity Type | Organization |
| Organization Name | MANCHESTER SURGICAL ASSOC |
| Practice Address |
1239 Mcarthur Drive Manchester TN 37355-2423 |
| Mailing Address |
Po Box 1228 Manchester TN 37349-1228 |
| Practice Telephone | 9317285879 |
| Practice Fax Number | 9317285881 |
| Mailing Telephone | 9317285879 |
| Mailing Fax Number | 9317285881 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | DR. J DAVID SULLIVAN (GENERAL SURGEON) |
| Authorized Official Telephone | 9317285879 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | DO0000000201 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3301339 | 05 |
| Street Address |
1239 MCARTHUR DRIVE |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1013279199 | Eyone Jones | Surgery | 29 Haynes St Ste B, Manchester, CT 06040-4139 | 2012-06-13 |
| 1982721866 | William S. Karkow | Surgery | 2582 150th Ave, Manchester, IA 52057-8524 | 2007-03-23 |
| 1598873259 | Ja-nan Yu | Surgery | 1050 Mcarthur Street, Manchester, TN 37349 | 2006-08-25 |
| 1457388183 | Laureen Forgione-rubino | Surgery | 945 Main Street, Suite #105, Manchester, CT 06040 | 2006-06-27 |
| 1568423846 | Marc S Rubenson | Surgery | 125 Chase Way, Manchester, NH 03104-1717 | 2006-03-28 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1861465635 | Reginald Winfield Raynor IIi | Surgery | 29 Haynes St, Suite B, Manchester, CT 06040-4139 | 2006-02-10 |
| 1710976964 | Lawrence Michael Hoepp | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-20 |
| 1164424131 | Dana Phillip Edwards | Surgery | 204 Town Branch Rd, Manchester, KY 40962-1322 | 2005-08-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
Please comment or provide details below to improve the information on MANCHESTER SURGICAL ASSOC.
| 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.