Individual provider Active NPI

Gene Fredric Manko, M.D.

  • Gynecology Physician
  • Jupiter, FL
National Provider Identifier
1194899559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME39043 Issued in FL
Practice address
600 Heritage Dr
Suite 200
Jupiter, FL 33458-3000
Phone
(561) 354-1525
Fax
(561) 354-1526
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME39043 FL Primary

Addresses

Primary practice location

600 Heritage Dr
Suite 200
Jupiter, FL 33458-3000

Mailing address

600 Heritage Dr
Suite 200
Jupiter, FL 33458-3000
Phone (561) 354-1525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME39043FLMDGynecology Physician

Interoperability endpoints

  • Direct secure messaging: gene.manko.1@17433.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194899559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-354-1525",
            "fax_number": "561-354-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-354-1525",
            "fax_number": "561-354-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKO",
        "first_name": "GENE",
        "middle_name": "FREDRIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME39043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.