Andrew J Manganaro, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

35046214 Issued in OH

Practice address

610 W Main Street
Suite 301
Wilmington, OH 45177

Phone

(937) 382-3364

Fax

(937) 382-3314

NPI assigned

Nov 8, 2006

Last updated

Aug 17, 2007By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Line Community Healthcare - Kansas, PA

  dba Life Line Community Healthcare

  • Community Health/Public Health Clinical Nurse Specialist
  • Independence, OH
  • NPI 1942629746
  NPD (past) Authorized official
• Clinton Memorial Hospital of Wilmington Clinton County Ohio

  dba CMH Home Health Care

  • Home Health Agency
  • Wilmington, OH
  • NPI 1558414615
  NPD (past)
• Hans Zwart, M.D. and Associates, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kettering, OH
  • NPI 1174578447
  NPD (past)
• Premier Health Specialists Inc

  dba Advanced Ankle and Foot Specialists

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1902211287
  NPD (past)
• Professional Readers Group, Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1861445702
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1730259086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SCHNEBLY ROAD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "43585",
            "telephone_number": "937-372-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MAIN STREET",
            "address_2": "SUITE 301",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "45177",
            "telephone_number": "937-382-3364",
            "fax_number": "937-382-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANARO",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35046214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0484033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Glenn Macdonald, O.D.
• Carissa C Macella, LPCC
• Main Medical, Inc.
• Brooke N Malicote, LPN-MEDS-IV
• Olivia Danielle Mandich, PSYD
• Manish Chopra DMD Inc. (Center for Dental Health)
• Jeffrey David Manser, MD
• Daniel Manzanillo
• Robyn Lynne Maple-Vilvens
• Holly Maples, CMS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.