Manzoor Tariq, Inc.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

133876 Issued in MO

Legal business name

MANZOOR TARIQ, INC.

Practice address

1071 Airport Rd
Festus, MO 63028-4103

Phone

(636) 931-7111

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Manzoor A Tariq, M.D.NPI 1134237332

Title

M.D.

Phone

(636) 931-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manzoor Ahmad Tariq, MD

  • Cardiovascular Disease Physician
  • Festus, MO
  • NPI 1134237332
  Medicare reassignment Care Compare group Authorized official
• Shamail S. Tariq, MD

  • Interventional Cardiology Physician
  • Fullerton, CA
  • NPI 1033370358

  MO

  Medicare reassignment Care Compare group
• Jerome Valentine Dwyer, M.D.

  • Specialist
  • Saint Louis, MO
  • NPI 1477515047
  NPD (past)
• Inderjit Singh, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1609842434
  NPD (past)
• Dana Valencia, M.D.

  • Cardiovascular Disease Physician
  • Moberly, MO
  • NPI 1902868185
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1952555005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 AIRPORT RD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284103",
            "telephone_number": "636-931-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 AIRPORT RD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284103",
            "telephone_number": "636-931-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZOOR TARIQ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "MANZOOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "636-931-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "133876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203400247",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maceren Anesthesiology Associate Inc.
• Thomas Joseph Malbrough, MD
• Adel Malic
• Malik Corporation
• Kimber Manning
• Christine A Marcink
• Marisa A Marino
• Nicholas L Marino, DDS
• Mark D Peckham OD PC
• Rebecca Marler

• Adult Health Nurse Practitioner in Festus, MO
• Providers in Festus, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.