MANOGNA DEEPTHI YAKASIRI (NPI# 1659927515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659927515 |
| Entity Type | Individual |
| Full Name | MANOGNA DEEPTHI YAKASIRI |
| Practice Address |
4201 Broadway St Ste C Mount Vernon IL 62864-2282 |
| Mailing Address |
7 Warwick Ln Mount Vernon IL 62864-2344 |
| Practice Telephone | 6182410353 |
| Mailing Telephone | 2709729332 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019032341 | IL | Dental Providers |
| Street Address |
4201 BROADWAY ST STE C |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003160 | Elevation Dental Studio, Dmd, P.C. | Dentist | 545 Gramatan Ave Unit B, Mount Vernon, NY 10552-2103 | 2019-09-24 |
| 1982263463 | Graham Whinery | Dentist | 908 Highway 37, Mount Vernon, TX 75457-4500 | 2019-06-10 |
| 1184197386 | Rockcastle County Hospital, Inc. | Dentist | 75 Newcomb Ave, Mount Vernon, KY 40456-2732 | 2019-01-10 |
| 1346739430 | Broadway Smiles Dental PC | Dentist | 105 Stevens Ave Ste 302, Mount Vernon, NY 10550-2680 | 2018-05-04 |
| 1629468566 | Franklin Dentistry Associates Pa | Dentist | 908 Texas Highway 37, Mount Vernon, TX 75457-4500 | 2015-01-30 |
| 1326387341 | Edly Destine | Dentist | 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181 | 2013-02-11 |
| 1114262847 | Cross Creek Dental Care - Mount Vernon,llc | Dentist | 214 E Chestnut St, Mount Vernon, OH 43050-3447 | 2012-12-06 |
| 1104142918 | David Keith Uebelhack | Dentist | 803 East Fourth St., Mount Vernon, IN 47620-0673 | 2010-04-19 |
| 1821324112 | Associates In Dentistry LLC | Dentist | 940 W Main St Unit A, Mount Vernon, KY 40456-2518 | 2009-10-21 |
| 1205089232 | Gentle Dentistry | Dentist | 2100 E Section St Ste 101, Mount Vernon, WA 98274-9132 | 2008-11-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on MANOGNA DEEPTHI YAKASIRI.
| 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.