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DR. GARY MARC MANTELL D.P.M. NPI 1750305892


NPI Information

NPI: 1750305892
Provider Name: DR. GARY MARC MANTELL, D.P.M.
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
5180 PARK AVE STE 220
MEMPHIS, TN
ZIP 38119
Phone: (901) 682-4668
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DR. Gary Marc Mantell, D.P.M. is a primary podiatric medicine podiatrist in Memphis, TN with 40 years of experience. DR. Gary Marc Mantell, D.P.M. NPI is 1750305892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1984

The provider's business location address is:

5180 PARK AVE STE 220
MEMPHIS, TN
ZIP 38119-530
Phone: (901) 682-4668
Fax: (901) 683-2963

The NPI 1750305892 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 11/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryDPM283TENNESSEENo
2213EP1101XPodiatristPrimary Podiatric MedicineDPM283TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T61097MEDICARE UPINTENNESSEE
23351206MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.