Barbara J Mantha

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NPC-0001856 Issued in OR

Legal business name

BARBARA J MANTHA

Practice address

644 SW Coast Hwy Ste B
Newport, OR 97365-5051

Phone

(541) 265-5581

Fax

(541) 265-5264

NPI assigned

Jun 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara June Mantha

Title

Owner

Phone

(541) 265-5581

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Home Medical Equipment and Supplies Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1013278399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-265-5581",
            "fax_number": "541-265-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 SW COAST HWY STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655051",
            "telephone_number": "541-265-5581",
            "fax_number": "541-265-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA J MANTHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MANTHA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-265-5581"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "NPC-0001856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6695420001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500646786",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Medical Equipment and Supplies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Aros
• Daniel L Aspiri, M. ED
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• Brennan Ree Bahnson, DMD
• Hannah Rasma Balduff, PA-C
• Robert Charles Barkus, PA-C
• Zachary Barrett
• Joan Barry-Gertz
• Erik David Barton, MD
• Ruth Claire Barton, RPT

• All providers in Newport, OR
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.