Ophelia V Manqubat, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35100223 Issued in OH

Practice address

2739 Miami Village Drive
Miamisburg, OH 45342

Phone

(937) 266-8267

Fax

(937) 436-3717

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1942483136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750370",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750370",
            "telephone_number": "937-266-8267",
            "fax_number": "937-436-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 MIAMI VILLAGE DRIVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-266-8267",
            "fax_number": "937-436-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANQUBAT",
        "first_name": "OPHELIA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35100223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272726",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Maggard, RBT
• Ashley Maish, RBT
• Syeda Malika, D.D.S.
• Manpreet Kaur Mann, PHARM.D.
• Janna M Manning, LISW
• Hasan Y Mansoor, FNP
• Ermano Mario Manzo, RPH
• Robert Gerald Marcioni, P. T.
• Kimberly Ann Marcyoniak, LISW
• Mark F Shoreman MD

• Pediatrics Physician in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.