Active NPI
Ludmil Manov MD PC
- Psychiatry Physician
- American Fork, UT
National Provider Identifier
1275959546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LUDMIL MANOV MD PC
- Practice address
- 21 N 490 W
American Fork, UT 84003-2264 - Phone
- (801) 642-2396
- Fax
- (801) 642-2496
- NPI assigned
- Mar 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ludmil Manov
- Title
- Owner
- Phone
- (801) 642-2396
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
21 N 490 W
American Fork, UT 84003-2264
Mailing address
21 N 490 W
American Fork, UT 84003-2264
Phone (801) 642-2396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21 N 490 W
American Fork, UT 84003
Phone (801) 592-7876
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- American Fork, UT
- NPI 1629098108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394496000000",
"number": "1275959546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 N 490 W",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032264",
"telephone_number": "801-642-2396",
"fax_number": "801-642-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 N 490 W",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032264",
"telephone_number": "801-642-2396",
"fax_number": "801-642-2496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUDMIL MANOV MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A",
"authorized_official_last_name": "MANOV",
"authorized_official_first_name": "LUDMIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-642-2396"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.