Active NPI
Manjunath Haridas, MD
- Surgery Physician
- Mansfield, OH
National Provider Identifier
1255511440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35-099875
- Practice address
- 215 Wood St
Richland Surgical Associates
Mansfield, OH 44903-2260 - Phone
- (419) 522-2833
- NPI assigned
- Nov 6, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35-099875 | OH | Primary |
Addresses
Primary practice location
215 Wood St
Richland Surgical Associates
Mansfield, OH 44903-2260
Mailing address
215 Wood St
Richland Surgical Associates
Mansfield, OH 44903-2260
Phone (419) 522-2833
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 |
|---|---|---|---|
| 35-099875 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Surgical Associates Inc | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1255511440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 WOOD ST",
"address_2": "RICHLAND SURGICAL ASSOCIATES",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032260",
"telephone_number": "419-522-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WOOD ST",
"address_2": "RICHLAND SURGICAL ASSOCIATES",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032260",
"telephone_number": "419-522-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARIDAS",
"first_name": "MANJUNATH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35-099875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.