Active NPI
Apurba Manik, M.D.
- Pediatrics Physician
- Wauchula, FL
National Provider Identifier
1902853013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME72938
- Practice address
- 120 Heartland Way
Wauchula, FL 33873-5000 - Phone
- (863) 767-1414
- Fax
- (863) 767-1763
- NPI assigned
- May 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME72938 | FL | Primary |
Addresses
Primary practice location
120 Heartland Way
Wauchula, FL 33873-5000
Mailing address
120 Heartland Way
Wauchula, FL 33873-5000
Phone (863) 767-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251858900 | Medicaid | FL | |
| 21036 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72938 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Pediatrics Association of Wauchula, P.a. | Pediatrics | Current | Accepting new patients |
Locations
120 Heartland Way
Wauchula, FL 33873
Phone (863) 767-1414
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Wauchula, FL
- NPI 1144241134
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1902853013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HEARTLAND WAY",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338735000",
"telephone_number": "863-767-1414",
"fax_number": "863-767-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEARTLAND WAY",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338735000",
"telephone_number": "863-767-1414",
"fax_number": "863-767-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIK",
"first_name": "APURBA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME72938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251858900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "21036",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.