DR. TIMOTHY DAVID MANDRELL


Address: 4862 Poplar Ave, Memphis, TN 38117-5152
Phone: 9014967101

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174M00000X Veterinarian DV0000002426 TN Other Service Providers

Office Location

Street Address 4862 POPLAR AVE
City MEMPHIS
State TN
Zip Code 38117-5152

Providers in the same zip code

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 Information

Taxonomy Code 174M00000X
Grouping Other Service Providers
Classification Veterinarian

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063859700 Gregory Don Shaw II Veterinarian 6920 Winchester Rd, Memphis, TN 38115-4420 2013-06-03

Providers in the same taxonomy and state

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
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Competitor

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City MEMPHIS
Zip Code 38117

Improve Information

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Dataset Information

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.

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