DR. TIMOTHY DAVID MANDRELL (NPI# 1679815229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679815229 |
Entity Type | Individual |
Full Name | DR. TIMOTHY DAVID MANDRELL |
Credential | D.V.M. |
Practice Address |
4862 Poplar Ave Memphis TN 38117-5152 |
Practice Telephone | 9014967101 |
Practice Fax Number | 9012076438 |
Mailing Telephone | 9014967101 |
Mailing Fax Number | 9012076438 |
Enumeration Date | 2013-03-21 |
Last Update Date | 2020-10-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174M00000X | Veterinarian | DV0000002426 | TN | Other Service Providers |
Street Address |
4862 POPLAR AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38117-5152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
Find all providers in zip 38117 |
Taxonomy Code | 174M00000X |
Grouping | Other Service Providers |
Classification | Veterinarian |
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063859700 | Gregory Don Shaw II | Veterinarian | 6920 Winchester Rd, Memphis, TN 38115-4420 | 2013-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750764288 | Karen Louise Blanchard | Veterinarian | 2237 Shrewsbury Run E, Collierville, TN 38017-8853 | 2015-07-01 |
1457732570 | Kayla Swanay | Veterinarian | 710 Professional Plaza Dr, Greeneville, TN 37745-5138 | 2015-06-15 |
1205235942 | Katharine Lakin Mccreary | Veterinarian | 1414 Gunbarrel Rd, Chattanooga, TN 37421-3121 | 2014-08-19 |
1700200300 | Brian Rutherford | Veterinarian | 10213 Kingston Pike, Knoxville, TN 37922-3222 | 2014-02-18 |
1023444189 | Katie Noe | Veterinarian | 3340 W Wolf Valley Rd, Clinton, TN 37716-6107 | 2013-09-20 |
1558794750 | Sarah Gordon | Veterinarian | 2701 N Mount Juliet Rd, Mount Juliet, TN 37122-3040 | 2013-08-12 |
1174965487 | Joyce Merryman | Veterinarian | 3914 Sweetwater Vonore Rd, Sweetwater, TN 37874-6153 | 2013-07-27 |
1740523034 | Elizabeth Cherie Cooper | Veterinarian | 5630 N Broadway St, Knoxville, TN 37918-4103 | 2013-04-04 |
1174872451 | Jeffrey Carl Phillips | Veterinarian | 3922 Clear Springs Rd, Mascot, TN 37806-1005 | 2012-09-02 |
1407116239 | Jean Marie Lavalley | Veterinarian | 198 Chaffin Pl, Murfreesboro, TN 37129-6901 | 2012-05-27 |
Find all providers with the same taxonomy |
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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.