Jimmy R Maneksha, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

8909 Issued in NH

Practice address

125 Mascoma Street
Alice Peck Day Memorial Hospital
Lebanon, NH 03766

Phone

(603) 448-3121

NPI assigned

Jun 30, 2006

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1164451621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037480260",
            "telephone_number": "603-632-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MASCOMA STREET",
            "address_2": "ALICE PECK DAY MEMORIAL HOSPITAL",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEKSHA",
        "first_name": "JIMMY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "8909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005716",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RE2591",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Mamelson, MD
• Cristina Mamolea, M.D.
• Amy Lynn Mancini, CRNA
• David Joshua Mancini, M.D,
• Aaron J Mancuso, M.D.
• Paul Damian Manganiello, M.D.
• Travis Kenneth Mann-Gow, DO
• Christopher Mann, CRNA
• Elizabeth Ayer Mann, MD, MPH
• Julianne Anderson Mann, M.D.

• Surgery Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.