Ebenezer Yaw-Obeng Mante, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29696 Issued in SC

Practice address

834 W Meeting St
Suite C
Lancaster, SC 29720-6251

Phone

(803) 313-3846

NPI assigned

Jun 18, 2006

Last updated

Feb 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Loris Seacoast Hospital

  dba McLeod Loris/Seacoast Physicians

  • Certified Registered Nurse Anesthetist
  • Loris, SC
  • NPI 1265708119
  Medicare reassignment NPD
• Mante Pediatrics LLC

  • Pediatrics Physician
  • Lancaster, SC
  • NPI 1508063371
  Authorized official Same address or phone
• McLeod Loris Seacoast Hospital

  dba McLeod Choice Pharmacy Seacoast

  • Community/Retail Pharmacy
  • Little River, SC
  • NPI 1629387352
  NPD
• Mante Pediatrics of Rock Hill Inc.

  • Primary Care Clinic/Center
  • Rock Hill, SC
  • NPI 1316369556
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Urology East

  • Urology Physician
  • Pasco, WA
  • NPI 1649785569
  NPD (past)
• Tri Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1659995504
  NPD (past)
• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1225145105
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1396780953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 W MEETING ST",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206251",
            "telephone_number": "803-313-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 W MEETING ST",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206251",
            "telephone_number": "803-313-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTE",
        "first_name": "EBENEZER",
        "middle_name": "YAW-OBENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "29696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "29696",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907410",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296968",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyfe Integrated Care
• Mackey Family Practice, PA
• Mackey Family Practice, PA
• Claudia Jeannette Maddox, CNNP
• Mante Pediatrics LLC
• Michael James Manwarren II
• Constance Marin
• James Daniel Marino, DO
• Courtney Cauthen Marshall, DPT
• Addelyn Martin, RN, BSN

• Pediatrics Physician in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.