Active NPI
Anand Mukund Manohar, M.D.
- Orthopaedic Surgery Physician
- Coldwater, MI
National Provider Identifier
1194907576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301033478
- Practice address
- 87 W Pearl St
Coldwater, MI 49036-1933 - Phone
- (517) 278-7122
- Fax
- (517) 279-4974
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301033478 | MI | Primary |
Addresses
Primary practice location
87 W Pearl St
Coldwater, MI 49036-1933
Mailing address
87 W Pearl St
Coldwater, MI 49036-1933
Phone (517) 278-7122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120844 | Other | BLUE SHIELD MICHIGAN | |
| 1398393 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301033478 | MI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1194907576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 W PEARL ST",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490361933",
"telephone_number": "517-278-7122",
"fax_number": "517-279-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 W PEARL ST",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490361933",
"telephone_number": "517-278-7122",
"fax_number": "517-279-4974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOHAR",
"first_name": "ANAND",
"middle_name": "MUKUND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301033478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD MICHIGAN",
"identifier": "0120844",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1398393",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.