Individual provider Active NPI

Gail Manna, MD

  • Internal Medicine Physician
  • East Providence, RI
National Provider Identifier
1740366533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
07476 Issued in RI
Practice address
525 Taunton Ave
East Providence, RI 02914-1603
Phone
(401) 438-3170
Fax
(401) 438-3240
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 07476 RI Primary

Addresses

Primary practice location

525 Taunton Ave
East Providence, RI 02914-1603

Mailing address

525 Taunton Ave
East Providence, RI 02914-1603
Phone (401) 438-3170

Other identifiers 1

IdentifierTypeStateIssuer
7003654MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07476RIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740366533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TAUNTON AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141603",
            "telephone_number": "401-438-3170",
            "fax_number": "401-438-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TAUNTON AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141603",
            "telephone_number": "401-438-3170",
            "fax_number": "401-438-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNA",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "07476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003654",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.