John D. Mandeville, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102204737 Issued in VA

Practice address

1965 Jefferson Davis Hwy
Fredericksburg, VA 22401-6213

Phone

(540) 735-0560

NPI assigned

Mar 21, 2008

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, shared by 19 NPIs, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  dba CVHS Charlotte

  • Federally Qualified Health Center (FQHC)
  • Charlotte Court House, VA
  • NPI 1891823498
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1275512063
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1306017959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 JEFFERSON DAVIS HWY",
            "address_2": "ATTN: MANAGED CARE PLANNING",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016213",
            "telephone_number": "540-735-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016213",
            "telephone_number": "540-735-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEVILLE",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-01055",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Leigh Mammucari, CCC-SLP
• Jessica Lindsay Manahan, MS CCC-SLP
• Partam Manalai, M.D
• Manan Mehta MD Inc (Virginia Oncology care, PC)
• Pamela M Mancini, MD
• Krista Anne Manges-Zalegowski, MD
• Ashley Mangus
• Angela M. Manion, LPC
• Anusha Manje Gowda, MD
• Benjamin Ryan Mann, DO

• Family Medicine Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.