DR. JERALD ALAN MANKOVSKY (NPI# 1225258551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225258551 |
| Entity Type | Individual |
| Full Name | DR. JERALD ALAN MANKOVSKY |
| Credential | M.D. |
| Practice Address |
3705 Medical Pkwy #220 Austin TX 78705-1019 |
| Practice Telephone | 5124519055 |
| Practice Fax Number | 5124512087 |
| Mailing Telephone | 5124519055 |
| Mailing Fax Number | 5124512087 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | E6490 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 115506101 | 05 |
| Street Address |
3705 MEDICAL PKWY #220 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711012 | Jack Lee Walzel | Surgery | 3705 Medical Pkwy, Ste 250, Austin, TX 78705-1019 | 2005-06-23 |
| 1942775721 | Narbelito V Lloren | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Austin, TX 78705-1019 | 2018-10-09 |
| 1063945509 | Salvador Guerrero | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2017-04-11 |
| 1598205569 | Olivia Miret | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-02-24 |
| 1497294227 | Bethany Kelliher | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-02-13 |
| 1831636513 | Spencer M Woodring | Registered Nurse | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-01-19 |
| 1902343668 | Jason A Fouts | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2017-01-19 |
| 1659817963 | Max David Heath | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-01-10 |
| 1891239141 | Nicole Christensen | Registered Nurse | 3705 Medical Pkwy, Suite # 440, Austin, TX 78705-1019 | 2016-12-06 |
| 1770034050 | Laura Ryan | Counselor | 3705 Medical Pkwy, Suite 520, Austin, TX 78705-1019 | 2016-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1326578477 | Mallory Monda | Obstetrics & Gynecology | 1301 W. 38th St., Suite 705, Ut Austin Dell Medical School-obgyn, Medical Park Tower, Austin, TX 78705-1016 | 2017-06-12 |
| 1528508389 | Whole Woman's Health Alliance | Obstetrics & Gynecology | 4100 Duval Rd Ste 201, Austin, TX 78759-3550 | 2017-02-27 |
| 1568841815 | Veronica Gonzalez | Obstetrics & Gynecology | 1313 Red River St., Suite A1 Ut Austin Dell Medical School Ob/gyn, Austin, TX 78701-1943 | 2015-05-20 |
| 1033506118 | Sharon Vaz | Obstetrics & Gynecology | 11111 Research Blvd Ste 475, Austin, TX 78759-5283 | 2015-04-16 |
| 1902207871 | Whole Woman's Health of New Mexico LLC | Obstetrics & Gynecology | 8401 N Ih 35, Suite 1a, Austin, TX 78753-5751 | 2014-09-10 |
| 1275953168 | Zoey Roberts | Obstetrics & Gynecology | 1313 Red River St., Ste A1, Umc At Brackenridge Utsw Austin Obgyn, Austin, TX 78701 | 2014-04-18 |
| 1316381148 | Kristin Sarah Tabor | Obstetrics & Gynecology | 12201 Renfert Way Ste 200, Austin, TX 78758-5368 | 2013-04-23 |
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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.