Organization Active NPI

Thomas J. Manski, M.D., P.a.

  • Neurological Surgery Physician
  • Fort Walton Beach, FL
National Provider Identifier
1174536551
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME79275 Issued in FL
Legal business name
THOMAS J. MANSKI, M.D., P.A.
Practice address
350 Racetrack Rd NW
Fort Walton Beach, FL 32547-1554
Phone
(850) 863-2300
Fax
(850) 863-2369
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Thomas Manski, M.D.
Title
Physician/Owner
Phone
(850) 863-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME79275 FL Primary

Addresses

Primary practice location

350 Racetrack Rd NW
Fort Walton Beach, FL 32547-1554

Mailing address

350 Racetrack Rd NW
Fort Walton Beach, FL 32547-1554
Phone (850) 863-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1174536551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471554",
            "telephone_number": "850-863-2300",
            "fax_number": "850-863-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471554",
            "telephone_number": "850-863-2300",
            "fax_number": "850-863-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. MANSKI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MANSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "850-863-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME79275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.