Michael Mankarious MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICHAEL MANKARIOUS MD PC

Practice address

638 S Bluff Blvd
Clinton, IA 52732-4742

Phone

(563) 243-5601

Fax

(563) 243-5637

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Michael Nasr Mankarious, MD

Title

MD

Phone

(563) 243-5601

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083606693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324742",
            "telephone_number": "563-243-5601",
            "fax_number": "563-243-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324742",
            "telephone_number": "563-243-5601",
            "fax_number": "563-243-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MANKARIOUS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MANKARIOUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NASR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "563-243-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "53221",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134759",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Clinton, IA
• Providers in Clinton, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.