Active NPI
Manisha Wagle, MD
- Anesthesiology Physician
- Dumas, TX
National Provider Identifier
1861569501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K1124
- Practice address
- 224 E 2ND St
Dumas, TX 79029-3808 - Phone
- (806) 934-7839
- Fax
- (806) 394-7836
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K1124 | TX | Primary |
Addresses
Primary practice location
224 E 2ND St
Dumas, TX 79029-3808
Mailing address
224 E 2ND St
Dumas, TX 79029-3808
Phone (806) 934-7839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855450 | Other | TX | BCBS GROUP NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861569501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 E 2ND ST",
"city": "DUMAS",
"state": "TX",
"postal_code": "790293808",
"telephone_number": "806-934-7839",
"fax_number": "806-394-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 E 2ND ST",
"city": "DUMAS",
"state": "TX",
"postal_code": "790293808",
"telephone_number": "806-934-7839",
"fax_number": "806-394-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGLE",
"first_name": "MANISHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K1124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "855450",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dumas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.