WINFRED C MANDA (NPI# 1659384980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659384980 |
| Entity Type | Individual |
| Full Name | WINFRED C MANDA |
| Credential | MD |
| Practice Address |
1350 Mackey Branch Dr Ste # 101 Chattanooga TN 37421-3482 |
| Mailing Address |
1350 Mackey Branch Dr Ste #101 Chattanooga TN 37421-3482 |
| Practice Telephone | 4235531155 |
| Practice Fax Number | 4235531124 |
| Mailing Telephone | 4235531155 |
| Mailing Fax Number | 4235531124 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 038183 | TN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
038183 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
38183 | TN | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
038183 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN0101 | 05 |
| Street Address |
1350 MACKEY BRANCH DR STE # 101 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346835 | Joseph Marion Wisniewski | Allergy & Immunology | 1350 Mackey Branch Dr, Ste 114, Chattanooga, TN 37421-3483 | 2005-09-13 |
| 1891058079 | Leigh Anne Calhoun | Nurse Practitioner | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2012-06-21 |
| 1396994802 | Covenant Allergy and Asthma Care Pllc | Allergy & Immunology | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2008-09-09 |
| 1750561999 | Garret John Faugot | Physician Assistant | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2007-11-05 |
| 1063451813 | Susan P Raschal | Allergy & Immunology | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699065722 | Radhika Shah | Internal Medicine | 979 E 3rd St Ste C735, Chattanooga, TN 37403-3310 | 2011-04-11 |
| 1528360765 | Geraldo Enrique Holguin | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2010-11-20 |
| 1194924423 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 628 Morrison Springs Road, Suite 300, Chattanooga, TN 37415-3430 | 2007-07-17 |
| 1639226335 | Mani Ravee | Internal Medicine | 6714 Heritage Business Ct, Chattanooga, TN 37421-2596 | 2007-01-04 |
| 1043209265 | Daniel R Smith | Internal Medicine | 1032 Mccallie Avenue, Ste 300, Chattanooga, TN 37403 | 2005-10-20 |
| 1497744114 | Yune-gill Jeong | Internal Medicine | 1614 Gunbarrel Rd Ste 101, Chattanooga, TN 37421 | 2005-10-14 |
| 1558969386 | Koo-l-ungs Pulmonary Specialists LLC | Internal Medicine | 2626 Walker Rd, Chattanooga, TN 37421-1116 | 2020-10-14 |
| 1245706746 | Ceob Medical Consulting, LLC | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2018-10-23 |
| 1154823078 | Chattanooga Lung Specialists, LLC | Internal Medicine | 6714 Heritage Business Ct, Chattanooga, TN 37421-2596 | 2018-03-07 |
| 1265954424 | In Charge Medical Professionals Tn,pc | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402 | 2017-07-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on WINFRED C MANDA.
| 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.