Organization Active NPI

Michael Mancina Cardiovascular Medicine, PA

  • Cardiovascular Disease Physician
  • Kansas City, KS
National Provider Identifier
1073901708
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0421587 Issued in KS
Legal business name
MICHAEL MANCINA CARDIOVASCULAR MEDICINE, PA
Practice address
1610 Washington Blvd
Kansas City, KS 66102-2842
Phone
(913) 888-8866
Fax
(913) 888-8829
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Michael S Mancina, MD
Title
President
Phone
(913) 963-1792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 0421587 KS Primary

Addresses

Primary practice location

1610 Washington Blvd
Kansas City, KS 66102-2842

Mailing address

1610 Washington Blvd
Kansas City, KS 66102-2842
Phone (913) 888-8866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1073901708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WASHINGTON BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661022842",
            "telephone_number": "913-888-8866",
            "fax_number": "913-888-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WASHINGTON BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661022842",
            "telephone_number": "913-888-8866",
            "fax_number": "913-888-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MANCINA CARDIOVASCULAR MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "MANCINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-963-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0421587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.