Mnap Medical Solutions, Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

AC20-48693 Issued in PA

Legal business name

MNAP MEDICAL SOLUTIONS, INC

Doing business as

MNAP Oncology Center

Practice address

9908 Roosevelt Blvd
Philadelphia, PA 19115-1705

Phone

(215) 464-3300

Fax

(215) 673-9254

NPI assigned

Jun 10, 2008

Last updated

Jul 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sergiy Shkuro

Title

President

Phone

(215) 464-3300

Specialties & licenses 1

Addresses

Other identifiers 11

Other names 1

• MNAP Oncology Center Doing business as

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1538329966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-464-3300",
            "fax_number": "215-673-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-464-3300",
            "fax_number": "215-673-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNAP MEDICAL SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "SHKURO",
        "authorized_official_first_name": "SERGIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-464-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "AC20-48693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE ID- TYPE UNSPECIFIED",
            "identifier": "P00056781",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2324240000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3Y3460",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019492480001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2347186",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "2324240000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3266178",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "33677",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1646499",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30008154",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO/ELDER HEALTH",
            "identifier": "9269",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MNAP Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MMR Group (26th & lehigh pharmacy)
• MMT Logistics Inc
• Mnap Diagnostic Imaging LLC
• Mnap Diagnostic Imaging, LLC
• Mnap Medical Solutions (MNAP Diagnostic Center)
• Mnap Medical Solutions, Inc. (MNAP Diagnostic Center and MNAP Oncology Center)
• Mnap Multipsecialty Group (MNAP Diagnostic Center)
• George Mo, MD
• Hyejin Mo
• Daniel Moadel, MD

• Radiation Oncology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.