Rene C del Valle MD PLLC
Organization Active NPI Obstetrics & Gynecology Physician · Manchester, TN
NPI 1528150596 · NPPES record last updated Mar 24, 2014
Key facts
- NPI
- 1528150596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD017200 (TN)
- Legal business name
- RENE C DEL VALLE MD PLLC
- Practice address
- 1615 McMinnville Hwy
Manchester, TN 37355-3179 - Phone
- (931) 450-5062
- Fax
- (931) 450-5063
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Rene C Del Valle, MD
- Title
- Owner MD
- Phone
- (931) 450-5062
Practitioners 5
-
Amanda Robin Bell, RN, CNM, APN
-
Michael Clay Good, M.D.
-
Theresa Herrin Hill, APN
-
April L Thornton, APN
-
Emily Curtis Walling, RNC, APN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | MD017200 | TN | Yes |
Addresses
Primary practice location
1615 McMinnville Hwy
Manchester, TN 37355-3179
Mailing address
PO Box 389
McMinnville, TN 37111-0389
Phone (931) 450-5062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3706110 | Medicaid | TN | |
| 7440419 | Other | TN | UNITED HEALTHCARE |
| 0202322 | Other | TN | BCBS |
NPI Registry JSON
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395619200000",
"number": "1528150596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 389",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371110389",
"telephone_number": "931-450-5062",
"fax_number": "931-450-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MCMINNVILLE HWY",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373553179",
"telephone_number": "931-450-5062",
"fax_number": "931-450-5063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENE C DEL VALLE MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2014-03-24",
"status": "A",
"authorized_official_last_name": "DEL VALLE",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER MD",
"authorized_official_telephone_number": "931-450-5062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD017200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3706110",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "7440419",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0202322",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, TN
- Stacy Gaylynn Rayfield
- Marguerite Dianne Record
- Isabella Grace Reeves
- Mallory Reeves
- Elizabeth Field Reinke
- Respiratory at Home, Corp
- Results-Ast JV, LLC
- Autumn Reynolds
- Michael Reynolds
- Susana Elisa Rhodes
All providers in Manchester, TN · Obstetrics & Gynecology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.