Organization Active NPI

George T Manitsas MD LLC

  • Cardiovascular Disease Physician
  • Hamilton, OH
National Provider Identifier
1619147303
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35031371 Issued in OH
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
George T Manitsas, MDNPI 1740272913
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0165673MedicaidOH

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.