Active NPI
Mancina Cardiovascular Medicine
- Cardiovascular Disease Physician
- Kansas City, KS
National Provider Identifier
1083010458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0421587
- Legal business name
- MANCINA CARDIOVASCULAR MEDICINE
- Practice address
- 1601 Washington Blvd
Kansas City, KS 66102-2841 - Phone
- (913) 888-8866
- Fax
- (913) 888-8829
- NPI assigned
- Nov 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael S Mancina, MD
- Title
- Owner
- Phone
- (913) 963-1792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0421587 | KS | Primary |
Addresses
Primary practice location
1601 Washington Blvd
Kansas City, KS 66102-2841
Mailing address
1601 Washington Blvd
Kansas City, KS 66102-2841
Phone (913) 888-8866
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/9375/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415836800000",
"number": "1083010458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WASHINGTON BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661022841",
"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": "1601 WASHINGTON BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661022841",
"telephone_number": "913-888-8866",
"fax_number": "913-888-8829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANCINA CARDIOVASCULAR MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-13",
"status": "A",
"authorized_official_last_name": "MANCINA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-963-1792",
"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 Nov 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.