Active NPI
Mana Medical, Inc.
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1275964934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.097615
- Legal business name
- MANA MEDICAL, INC.
- Practice address
- 880 Greenlawn Ave
Columbus, OH 43223-2616 - Phone
- (614) 449-9664
- Fax
- (614) 444-7919
- NPI assigned
- Dec 6, 2013
- 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
- Binit J Shah, M.D.
- Title
- Owner
- Phone
- (202) 491-3733
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.097615 | OH | Primary |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 35.097615 | OH |
Addresses
Primary practice location
880 Greenlawn Ave
Columbus, OH 43223-2616
Mailing address
8163 Campden Lakes Blvd
Dublin, OH 43016-8254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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
- Cleveland, OH
- NPI 1912181389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386288000000",
"number": "1275964934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8163 CAMPDEN LAKES BLVD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 GREENLAWN AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432232616",
"telephone_number": "614-449-9664",
"fax_number": "614-444-7919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANA MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-06",
"last_updated": "2013-12-06",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "BINIT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-491-3733",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.097615",
"primary": true
},
{
"code": "2084P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "OH",
"license": "35.097615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.