Laura M Mantine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD432550 Issued in PA

Practice address

4815 Liberty Ave
Suite GR-30
Pittsburgh, PA 15224-2156

Phone

(412) 621-3844

Fax

(412) 683-8560

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in PA, WV, IN3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Personal Care Medical Associates LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Pittsburgh, PA
  • NPI 1922427962
  Medicare reassignment NPD
• Wellbe Senior Medical Group of Pennsylvania PC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1255089132
  Medicare reassignment NPD
• Wellbe Medical Group of West Virginia Inc

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1184331514
  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  IN, WV

  Medicare reassignment
• Personal Care Medical Associates, LLC

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1649446022
  NPD
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1104084144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PLEASANT DR",
            "address_2": "SUITE I",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011384",
            "telephone_number": "724-379-5400",
            "fax_number": "724-302-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE GR-30",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-621-3844",
            "fax_number": "412-683-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTINE",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022060430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Arthur Manteris, DMD
• Darby Sue Manternach
• August M Mantia, MD
• Megan Marie Mantica, M.D.
• Maria Gabriela Mantilla Garcia
• Megan Elisabeth Mantsch
• Manuel D Reich
• Manuel M. Castillo, M.D., P.C.
• Eleanor Manuel-Parrish, PTA
• Sangeeta Manuel, MD

• Internal Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.