Organization Active NPI

Ronal D Manis Jr MD Inc

  • Infectious Disease Physician
  • Piqua, OH
National Provider Identifier
1194995126
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35043967 Issued in OH
Legal business name
RONAL D MANIS JR MD INC
Doing business as
intrepid care
Practice address
1752 W High St
Piqua, OH 45356-9325
Phone
(937) 773-3737
Fax
(937) 440-4250
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Mrs. Nicola J Huff
Title
Office Manager
Phone
(937) 773-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 35043967 OH Primary

Addresses

Primary practice location

1752 W High St
Piqua, OH 45356-9325

Mailing address

1752 W High St
Piqua, OH 45356-9325
Phone (937) 773-3737

Other identifiers 1

IdentifierTypeStateIssuer
0837527MedicaidOH

Other names 1

  • intrepid care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1194995126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 W HIGH ST",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569325",
            "telephone_number": "937-773-3737",
            "fax_number": "937-440-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 W HIGH ST",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569325",
            "telephone_number": "937-773-3737",
            "fax_number": "937-440-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONAL D MANIS JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-773-3737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35043967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0837527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "intrepid care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piqua, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.