Dr. John Walter Mann III
Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
2331 Franklin Rd Sw
Roanoke
, Virginia 24014-1111
Dr. John Walter Mann III
Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
2331 Franklin Rd Sw
Roanoke
, Virginia 24014-1111
(540) 857-5306
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Walter Mann III
- 2331 Franklin Rd Sw
- Roanoke, VA
- Zip : 24014-1111
- Fax : (540) 857-5306
- Phone : (540) 510-6200
Second Address
- Dr. John Walter Mann III
- 2331 Franklin Rd Sw
- Roanoke, VA
- Zip : 24014-1111
- Fax : (540) 857-5306
- Phone : (540) 725-1226
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101048448 | VA |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101048448 | VA |
National Provider Identifier
| NPI | 1487631602 |
|---|---|
| Provider Name | Dr. John Walter Mann III |
| First Address | Roanoke, VA 24014-1111 |
| Second Address | Roanoke, VA 24014-1111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 15/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009878000 | MEDICAID OF WEST VIRGINIA (01) | VA |
| 1487631602 | (05) | VA |
| 1487631602 | AETNA (01) | VA |
| 1487631602 | ANTHEM (01) | VA |
| 1487631602 | CIGNA (01) | VA |
| 1487631602 | COVENTRY/AETNA BETTER HEALTH (01) | VA |
| 1487631602 | GATEWAY (01) | VA |
| 1487631602 | HEALTHKEEPERS (01) | VA |
| 1487631602 | HEALTHKEEPERS PLUS (01) | VA |
| 1487631602 | HUMANA MEDICARE (01) | VA |
| 1487631602 | INTOTAL (01) | VA |
| 1487631602 | MAGELLAN CCP (01) | VA |
| 1487631602 | OPTIMA HEALTH PLAN (01) | VA |
| 1487631602 | UMWA (01) | VA |
| 1487631602 | UNITED HEALTHCARE (01) | VA |
| 1487631602 | VA PREMIER (01) | VA |
| 1487631602 | VIRGINIA HEALTH NETWORK (01) | VA |
| 371194700 | BLACK LUNG (01) | VA |
| 540506332115 | TRICARE/CHAMPUS (01) | VA |
| E65211 | (02) | |
| P080129534 | RAILROAD MEDICARE (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.