Eric J Mannes, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

018561 Issued in CT

Practice address

28 Crescent St
Middlesex Hospital
Middletown, CT 06457

Phone

(860) 344-6293

Fax

(860) 344-6071

NPI assigned

Jul 11, 2006

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 and National Provider Directory roles.

• Guilford Radiology LLC

  • Diagnostic Radiology Physician
  • Guilford, CT
  • NPI 1760593347
  NPD (past)
• Radiologic Assoc of Middletown PC

  • Diagnostic Radiology Physician
  • West Haven, CT
  • NPI 1730298936
  NPD (past)
• Radiologic Associates of Middletown PC

  • Diagnostic Radiology Physician
  • Middletown, CT
  • NPI 1124137328
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1720013899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SOUTH MAIN ST",
            "address_2": "PO BOX 931",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-346-8481",
            "fax_number": "860-346-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "address_2": "MIDDLESEX HOSPITAL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-344-6293",
            "fax_number": "860-344-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNES",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "018561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000378",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Elizabeth Mancini, MD
• Lydia A Mandell, LPC
• Rachel U Manemeit, LCSW
• Natalia Manevich
• Carolyn Mangiafico, LCSW
• Clare Elizabeth Manzi, M.D.
• Alexandra Marie Marcello
• Monica Eva Marcello, RD
• Johanna Marco, LMFT
• Elizabeth Ann Mariano, M.D.

• Diagnostic Radiology Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.