Mann Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

15793 Issued in MO

Legal business name

MANN RADIOLOGY PC

Practice address

3937 Sherman Ave
Saint Joseph, MO 64506-3649

Phone

(816) 676-0625

Fax

(816) 676-0627

NPI assigned

Sep 1, 2009

Last updated

Sep 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth E Mann, DONPI 1851398713

Title

Owner

Phone

(816) 676-0625

Specialties & licenses 1

Addresses

Locations

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.

• Kenneth E Mann, DO

  • Diagnostic Radiology Physician
  • Saint Joseph, MO
  • NPI 1851398713
  Authorized official Same address or phone

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1811120280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-676-0625",
            "fax_number": "816-676-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-676-0625",
            "fax_number": "816-676-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-676-0625",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "15793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Renae Macaluso, D.O.
• Rachel Kaylen Mace, LMSW
• Austin Mack
• Edward F. Malewski, M.D.
• Jon Mandracchia, PHD
• Kenneth E Mann, DO
• Jamie B Manson
• Marathon Health LLC
• Amanda Maretoli, LCSW
• Mark L. Trulsson, DMD, P.C.

• Diagnostic Radiology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.