Kenneth E Mann, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

115793 Issued in MO

Practice address

3937 Sherman Ave
Saint Joseph, MO 64506-3649

Phone

(816) 676-0625

Fax

(816) 676-0627

NPI assigned

Jul 6, 2005

Last updated

Jun 26, 2008By 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 3

Medicare fee-for-service enrollment

Enrolled in MO, OK, TX, NM4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Diagnostic Radiology

Education

Kansas City College of Medicine and Surgery, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians

Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians

Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians

Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians

Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Zuni Indian HospitalGroup PAC ID 5698689644, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
• Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
• Choctaw Nation Health Services Authority Hospital, Talihina, OK, CCN 370172
• St Mary's Regional Medical Center Hospital, Enid, OK, CCN 370026
• Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations (25 of 40)

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment Care Compare group NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment Care Compare group NPD
• Clinton Indian Health Center

  • Federal Public Health Clinic/Center
  • Clinton, OK
  • NPI 1205923448

  TX

  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1427049956

  MO

  Medicare reassignment Care Compare group NPD
• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223

  TX

  Medicare reassignment Care Compare group NPD
• Pawnee Indian Health Center

  • Clinic/Center
  • Pawnee, OK
  • NPI 1629174081

  TX

  Medicare reassignment Care Compare group NPD
• Zuni Indian Hospital

  • General Acute Care Hospital
  • Zuni, NM
  • NPI 1497843734

  TX

  Medicare reassignment Care Compare group NPD
• Albuquerque Indian Health Center

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1659458917

  TX

  Medicare reassignment NPD
• Anadarko Indian Health Center

  • Federal Public Health Clinic/Center
  • Anadarko, OK
  • NPI 1881637403

  TX

  Medicare reassignment NPD
• Artesia General Hospital

  dba Artesia Healthcare Professionals

  • Surgery Physician
  • Artesia, NM
  • NPI 1114076825
  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  Care Compare affiliation
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Claremore, OK
  • NPI 1497568968

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Hugo

  • Primary Care Clinic/Center
  • Hugo, OK
  • NPI 1174599088

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Stigler

  • Primary Care Clinic/Center
  • Stigler, OK
  • NPI 1184690026

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care Clinic - Durant

  • Primary Care Clinic/Center
  • Durant, OK
  • NPI 1396173449

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Idabel

  • Primary Care Clinic/Center
  • Idabel, OK
  • NPI 1407822497

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623
  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care Clinic-Poteau

  • Primary Care Clinic/Center
  • Poteau, OK
  • NPI 1710953799

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Antlers, OK
  • NPI 1770322422

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Broken Bow

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Atoka

  • Primary Care Clinic/Center
  • Atoka, OK
  • NPI 1902078728

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care Clinic-Mcalester

  • Primary Care Clinic/Center
  • McAlester, OK
  • NPI 1952377939

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1851398713",
    "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": "800-354-1088",
            "fax_number": "314-631-4491"
        },
        {
            "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": {
        "last_name": "MANN",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "115793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283829231",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200070690A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135713003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Kaylen Mace, LMSW
• Austin Mack
• Edward F. Malewski, M.D.
• Jon Mandracchia, PHD
• Mann Radiology PC
• Jamie B Manson
• Marathon Health LLC
• Amanda Maretoli, LCSW
• Mark L. Trulsson, DMD, P.C.
• Charla Markt, PSYD

• 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 Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.