Organization Active NPI

Eric J Mancini MD, PC

Doing business as Mancini Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Petoskey, MI
National Provider Identifier
1184409617
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ERIC J MANCINI MD, PC
Doing business as
Mancini Orthopedics & Sports Medicine
Practice address
2230 E Mitchell Rd
Petoskey, MI 49770-6601
Phone
(231) 487-6688
Fax
(231) 865-3436
NPI assigned
Aug 31, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Eric J Mancini, MDNPI 1487941910
Title
Owner
Phone
(231) 487-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X

Addresses

Primary practice location

2230 E Mitchell Rd
Petoskey, MI 49770-6601

Mailing address

2230 E Mitchell Rd
Petoskey, MI 49770-6601
Phone (231) 487-6688

Other names 1

  • Mancini Orthopedics & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230914003472 MI Part B Supplier - Clinic/Group Practice 3870957442 Receives reassigned benefits from 2 practitioners
Practice locations: Petoskey, MI

National Provider Directory

National Provider Directory

Locations

2230 E Mitchell Rd
Petoskey, MI 49770
Phone (231) 487-6688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1184409617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497706601",
            "telephone_number": "231-487-6688",
            "fax_number": "231-865-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497706601",
            "telephone_number": "231-487-6688",
            "fax_number": "231-865-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J MANCINI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MANCINI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-487-6688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mancini Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.