Organization Active NPI

Manolo P Mapa

  • Point of Service
  • East Liverpool, OH
National Provider Identifier
1902083926
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
30537203 Issued in OH
Legal business name
MANOLO P MAPA
Practice address
129 W 4TH St
East Liverpool, OH 43920-4531
Phone
(330) 385-5297
Fax
(330) 385-2540
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Manolo P Mapa, M.D.
Title
Propietor
Phone
(330) 385-5297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 30537203 OH Primary

Addresses

Primary practice location

129 W 4TH St
East Liverpool, OH 43920-4531

Mailing address

129 W 4TH St
East Liverpool, OH 43920-4531
Phone (330) 385-5297

Other identifiers 1

IdentifierTypeStateIssuer
0254362MedicaidOH

National Provider Directory

National Provider Directory

Locations

129 W 4th St
East Liverpool, OH 43920
Phone (330) 382-0000

709 Armstrong Ln
East Liverpool, OH 43920
Phone (330) 382-0101

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1902083926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 4TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439204531",
            "telephone_number": "330-385-5297",
            "fax_number": "330-385-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W 4TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439204531",
            "telephone_number": "330-385-5297",
            "fax_number": "330-385-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOLO P MAPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MAPA",
        "authorized_official_first_name": "MANOLO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PROPIETOR",
        "authorized_official_telephone_number": "330-385-5297",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OH",
            "license": "30537203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.