Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vivian Mandas, PA

Individual provider Surgical Physician Assistant · NPI 1508620303

Vivian Mandas, PA is a Physician Assistant in Oak Ridge, Tennessee. Qualified in 2023, 3 years ago. Practices with East Tennessee Ear, Nose and Throat Specialists, PC, an 8-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 Oak Ridge Tpke Ste C100
Oak Ridge, TN 37830-6927
Phone: (865) 483-2288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TN)
Surgical Physician Assistant Taxonomy 363AS0400X (TN)

Record details

NPI number1508620303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice East Tennessee Ear, Nose And Throat Specialists, Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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