Active NPI
George T Manitsas MD LLC
- Cardiovascular Disease Physician
- Hamilton, OH
National Provider Identifier
1619147303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35031371
- Legal business name
- GEORGE T MANITSAS MD LLC
- Practice address
- 1380 NW Washington Blvd
Hamilton, OH 45013-6310 - Phone
- (513) 863-5592
- Fax
- (513) 863-6772
- NPI assigned
- Mar 10, 2008
- Last updated
- Mar 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George T Manitsas, MD
- Title
- Owner
- Phone
- (513) 863-5592
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35031371 | OH | Primary |
Addresses
Primary practice location
1380 NW Washington Blvd
Hamilton, OH 45013-6310
Mailing address
1380 NW Washington Blvd
Hamilton, OH 45013-6310
Phone (513) 863-5592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165673 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Hamilton, OH
- NPI 1740272913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1619147303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 NW WASHINGTON BLVD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450136310",
"telephone_number": "513-863-5592",
"fax_number": "513-863-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 NW WASHINGTON BLVD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450136310",
"telephone_number": "513-863-5592",
"fax_number": "513-863-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE T MANITSAS MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "MANITSAS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-863-5592",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35031371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0165673",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.