GLENN A MANDEVILLE M.D.
NPI 1942318795
Surgery in Terre Haute, IN

Q: What is Glenn Mandeville's NPI number?

The NPI number for Glenn Mandeville is 1942318795. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Glenn Mandeville's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Mandeville was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2006

1429 N 6TH ST, TERRE HAUTE, IN 47807(812) 242-3110(812) 242-3795 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glenn A Mandeville M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN A MANDEVILLE M.D. (NPI 1942318795) is an individual surgery provider in Terre Haute, Indiana, licensed in Indiana (01041222A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1942318795

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameGLENN A MANDEVILLECredential: M.D.

Location Address1429 N 6TH STTerre Haute, IN 47807-1037

Mailing Address221 S 6th StTerre Haute, IN 47807-4214 · (812) 242-3110 · Fax (812) 242-3795

Phone(812) 242-3110

Fax(812) 242-3795

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateMarch 14, 2013

✔ NPI 1942318795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IN · 01041222A

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1429 N 6TH ST, Terre Haute, IN 47807

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Other Identifiers 8

Medicare PIN265130A3IN

Other020024441Railroad Mcare Palametto

Medicaid100337060IN

Medicare PIN192770NNIN

Medicare UPINF57916

Medicare PIN859910UIN

Other000000089623Anthem

OtherP00834915IN · Railroad Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES SIDES MD

Obstetrics & Gynecology