Manosh Vongvises, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

20681 Issued in KY

Practice address

419 Town Mountain Rd
Suite 104
Pikeville, KY 41501-1631

Phone

(606) 432-3277

Fax

(606) 432-6771

NPI assigned

Sep 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manosh Vongvises, M.D., Inc.

  • Otolaryngology Physician
  • Pikeville, KY
  • NPI 1336450014
  Authorized official Same address or phone

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053413179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 104",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-432-3277",
            "fax_number": "606-432-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 104",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-432-3277",
            "fax_number": "606-432-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGVISES",
        "first_name": "MANOSH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "20681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64206816",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mechella Ann Varney
• Rhonda Varney, LMT
• Stacey Nicole Vawter
• Juanita Vickers, CSW LCSW C-ASWCM
• Virgie Clinic Pharmacy Inc (Valley Disount Pharmacy)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1505)
• Wal-Mart Stores East, LP (Vision Center 30-1505)
• Walgreen Co (Walgreens #17936)
• Walgreen Co (Walgreens #19657)
• Hannah Grace Wallace

• Otolaryngology Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.