MR. ALBERT J. MANVILLE


Address: 2331 Franklin Rd Sw, Roanoke, VA 24014-1111
Phone: 5407251226

MR. ALBERT J. MANVILLE (NPI# 1912971862) 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) 1912971862
Entity Type Individual
Full Name MR. ALBERT J. MANVILLE
Credential PA
Practice Address 2331 Franklin Rd Sw
Roanoke
VA 24014-1111
Practice Telephone 5407251226
Practice Fax Number 5408575306
Mailing Telephone 5407251226
Mailing Fax Number 5408575306
Enumeration Date 2006-02-16
Last Update Date 2016-08-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110-001242 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA AETNA 1912971862 01
VA HUMANA MEDICARE 1912971862 01
VA UMWA 1912971862 01
VA RAILROAD MEDICARE P00191374 01
VA ANTHEM MEDIGAP 1912971862 01
VA CCC VIRGINIA PREMIER 1912971862 01
VA BLACK LUNG 371194700 01
VA SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY 1912971862 01
VA TRICARE/CHAMPUS 540506332108 01
VA OPTIMA HEALTH PLAN 1912971862 01
VA MEDICAID QMB 1912971862 01
VA INTOTAL 1912971862 01

Office Location

Street Address 2331 FRANKLIN RD SW
City ROANOKE
State VA
Zip Code 24014-1111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134113335 Daniel P Moore Physical Medicine & Rehabilitation 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2005-09-02
1639717093 Quin Sweeney Nurse Practitioner 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2019-12-17
1518522952 Kelsey Mcwey Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2019-05-01
1275041527 Jennifer Caroline Dudley Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2018-01-19
1801304407 Tyler Bryce Kemp Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2018-01-17
1508374232 Hope Anna Marie Poetker Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2018-01-16
1730695990 Tabitha Saunders Specialist/Technologist 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-12-22
1730692591 Eric Olsen Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-11-14
1205345097 Kathryn Sandifer Nurse Practitioner 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-09-25
1841718871 Brooke Ellyn Martin Specialist/Technologist 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417558602 Irene Pace Seidman Pharmacist 3350 Clearbrook Village Ln, Roanoke, VA 24014 2020-11-04
1720617970 Mounica Reddy Thootkur Student in an Organized Health Care Education/Training Program 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 2020-04-08
1326675422 Bharath Muppala Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 2020-03-26
1235629239 Sanjeeb Sudarshan Bhandari Student in an Organized Health Care Education/Training Program 1906 Bellview Ave Se, Roanoke, VA 24014 2018-05-15
1104325778 Vera J. Short Registered Nurse 3167 Huffman Ln, Roanoke, VA 24014 2018-02-08
1770001380 Michael Alan Phillips I Social Worker 2017 Jefferson Street, Roanoke, VA 24014 2017-09-03
1306362884 Sara Alicia Guasch Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 2017-08-16
1790212256 Pouya Mafi Student in an Organized Health Care Education/Training Program 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 2017-05-16
1790222867 Mara Cate Physician Assistant 523 Arbuttus Ave, Roanoke, VA 24014 2017-01-26
1508314634 Dknl Enterprises, Inc. Non-emergency Medical Transport (VAN) 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 2016-09-19
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164040960 Daniel Scott Feivor Physician Assistant 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 2020-07-08
1275159287 Paige Alexandra Hamay Physician Assistant 206 Williamson Rd Se Apt 227, Roanoke, VA 24011-1812 2020-06-25
1396360624 Hannah Barnhill Physician Assistant 943 Murray Ave Se, Roanoke, VA 24013-1841 2020-06-12
1922623297 Grace G Krotkov Physician Assistant 3410 Chaparral Dr Apt 133, Roanoke, VA 24018-4930 2020-06-12
1639791270 Megan Thorn Physician Assistant 502 Allison Ave Sw Apt 5, Roanoke, VA 24016-4547 2020-05-16
1952923914 Sydney Lucille Hughes Adams Physician Assistant 928 2nd St Sw Apt 1, Roanoke, VA 24016-4420 2020-05-13
1780206268 Katherine Cole Physician Assistant 16 Old Whitmore Ave Se Apt 507, Roanoke, VA 24016-1236 2020-05-07
1205457033 Kristin Marie Sammons Physician Assistant 6430 Archcrest Dr Apt 107, Roanoke, VA 24019-1185 2020-05-04
1407480460 Amanda Joy Wheeler Physician Assistant 3626 Belle Ave Ne, Roanoke, VA 24012-6408 2020-02-28
1356981625 Ryan Maurer Short Physician Assistant 1615 Westover Ave Sw # A, Roanoke, VA 24015-5215 2020-01-14
Find all providers in ROANOKE

Competitor

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City ROANOKE
Zip Code 24014

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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