Organization Active NPI

Robert F. Mann, MD, SC

  • Specialist
  • Oshkosh, WI
National Provider Identifier
1417098633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30805 Issued in WI
Legal business name
ROBERT F. MANN, MD, SC
Practice address
815 W 20TH Ave
Oshkosh, WI 54902-6766
Phone
(920) 230-3700
Fax
(920) 230-3700
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert F Mann, M.D.NPI 1265414783
Title
Neurosurgeon
Phone
(920) 230-3700

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 30805 WI Primary

Addresses

Primary practice location

815 W 20TH Ave
Oshkosh, WI 54902-6766

Mailing address

815 W 20TH Ave
Oshkosh, WI 54902-6766
Phone (920) 230-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706000187 WI Part B Supplier - Clinic/Group Practice 8325025604 Receives reassigned benefits from 1 practitioner
Practice locations: Fond Du Lac, WI; Oshkosh, WI

National Provider Directory

National Provider Directory

Locations

430 Division St
Oshkosh, WI 54901

815 W 20th Ave
Oshkosh, WI 54902
Phone (920) 230-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417098633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W 20TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026766",
            "telephone_number": "920-230-3700",
            "fax_number": "920-230-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W 20TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026766",
            "telephone_number": "920-230-3700",
            "fax_number": "920-230-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. MANN, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "920-230-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "30805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.