Sheila R Mane MD PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

27651 Issued in AZ

Legal business name

SHEILA R MANE MD PC

Doing business as

Sheila R Mane MD PC

Practice address

1730 E Beverly Ave
Kingman, AZ 86409-3500

Phone

(928) 681-3960

Fax

(928) 869-0067

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Direndia Shackelford

Title

Managed Care Specialist

Phone

(800) 654-0889

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SHEILA R MANE MD PC Doing business as

Tax ID family

Apogee Medical GRP Wi SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Apogee Medical Group, Wisconsin, S.C

  • Hospitalist Physician
  • Green Bay, WI
  • NPI 1245706266
  NPD tax ID
• Apogee Medical Group, Wisconsin, SC

  • Internal Medicine Physician
  • Reedsburg, WI
  • NPI 1932984457
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheila R Mane, MD

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1720009814
  NPD
• Vijayavel Palanichamy, MD

  • Nephrology Physician
  • Kingman, AZ
  • NPI 1811908510
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366512444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E BEVERLY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E BEVERLY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093500",
            "telephone_number": "928-681-3960",
            "fax_number": "928-869-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA R MANE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "DIRENDIA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": "27651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474742",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0352815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHEILA R MANE MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traniece Seymour
• Jennifer Ann Shade
• Belal Mohammad Sharaf, MD
• Andrea Sheehan, FNP-BC
• Michael Edward Sheehy, DO
• Nancy Shenouda
• Denton Cade Shepherd
• Sherif Nasef, MD, PLLC
• Mijjal Gopal Shrestha, MD
• Shifali Shrivastava, MS, MD

• Non-Pharmacy Dispensing Site in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Non-Pharmacy Dispensing Site in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.