Active NPI
Jonathan Hugh Manto, P.A.
- Medical Physician Assistant
- Longmont, CO
National Provider Identifier
1871730101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2892
- Practice address
- 220 E. Rogers Rd
Longmont, CO 80501 - Phone
- (303) 776-3250
- NPI assigned
- Jan 8, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2892 | CO | Primary |
Addresses
Primary practice location
220 E. Rogers Rd
Longmont, CO 80501
Mailing address
935 Bungalow CT
Fort Collins, CO 80521
Phone (646) 678-1174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81686048 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2892 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Longs Peak Emergency Physicians, PC | Past | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Emergency Medicine Physician
- Longmont, CO
- NPI 1215910146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1871730101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 BUNGALOW CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80521",
"telephone_number": "646-678-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E. ROGERS RD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-776-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTO",
"first_name": "JONATHAN",
"middle_name": "HUGH",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81686048",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.