James Roger Manshardt, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D6076 Issued in TX

Practice address

1500 Pappas St
Laredo, TX 78041-1701

Phone

(956) 794-3000

Fax

(956) 794-3301

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Capstone Behavioral Healthcare, Inc

  • Community/Behavioral Health Agency
  • Newton, IA
  • NPI 1174598908
  NPD (past)
• DHHS PHS Naihs Fort Defiance Hospital

  dba PHS Fort Defiance Indian Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)
• Magellan Health Services of Arizona, Inc

  • Case Management Agency
  • Gilbert, AZ
  • NPI 1194965145
  NPD (past)
• Poweshiek County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grinnell, IA
  • NPI 1528166360
  NPD (past)
• Vo of Arizona, Inc.

  dba ValueOptions Laboratory Services

  • Clinical Medical Laboratory
  • Glendale, AZ
  • NPI 1447458682
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396835104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856410295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411701",
            "telephone_number": "956-794-3000",
            "fax_number": "956-794-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSHARDT",
        "first_name": "JAMES",
        "middle_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D6076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "D6076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arvind Manojkumar, DO
• Adriana Mayte Manrique, LCSW
• Ana Karen Manrique, LPC, LCDC
• Enrique Manrique, LCDC, LPC-I
• Jose Luis Manrique Sr., LVN
• Mar-del Home Health L L C
• Marleen Mar
• Adriana Mares
• Leslie Mares
• Teresa Maresh, CRNA

• Psychiatry Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.