DR. JACK M MANCUS (NPI# 1164568911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164568911 |
| Entity Type | Individual |
| Full Name | DR. JACK M MANCUS |
| Credential | M.D. |
| Practice Address |
155 E Market St Rhinebeck NY 12572-1720 |
| Practice Telephone | 8458761996 |
| Practice Fax Number | 8458768656 |
| Mailing Telephone | 8458761996 |
| Mailing Fax Number | 8458768656 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 144030 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00710572 | 05 |
| Street Address |
155 E MARKET ST |
| City | RHINEBECK |
| State | NY |
| Zip Code | 12572-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700053139 | Jack M Mancus Md PC | Internal Medicine | 155 E Market St, Rhinebeck, NY 12572-1720 | 2008-05-14 |
| 1710002308 | Vicki B. Lienau | Nurse Practitioner | 155 E Market St, Rhinebeck, NY 12572-1720 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934222 | Jennifer Lansky | Counselor | 7085 U.S. 9, Rhinebeck, NY 12572 | 2020-08-28 |
| 1619594942 | Aleena Shaukat | Student in an Organized Health Care Education/Training Program | 6511 Spring Brook Avenue, Rhinebeck, NY 12572 | 2020-07-02 |
| 1801315916 | Integral Psychology Circle | Psychologist | 6565 Spring Brook Avenue, Suite 5, Rhinebeck, NY 12572 | 2017-09-11 |
| 1982145769 | Patricia O'connell | Nurse Practitioner | 500 Milan Hollow Road, Rhinebeck, NY 12572 | 2017-03-14 |
| 1346629995 | Damian Family Care Centers, Inc. | Clinic/Center | 216 Fox Hollow Road, Rhinebeck, NY 12572 | 2015-05-28 |
| 1295167849 | Colleen Dunderdale | Registered Nurse | 6339 Mill Street, Aston, Rhinebeck, NY 12572 | 2013-08-06 |
| 1629348826 | Bonnie Lynn Murphy | Registered Nurse | 45 North Park Rd, Rhinebeck, NY 12572 | 2012-01-04 |
| 1750665568 | Patricia Webb Goodemote | Speech-Language Pathologist | 466 Schultzhill Road, Rhinebeck, NY 12572 | 2011-09-29 |
| 1558599852 | Linda Adepoju | Surgery | 6511 Spring Brook Ave Ste 1004, Rhinebeck, NY 12572 | 2009-06-24 |
| 1225271794 | Amanda Meglio | Acupuncturist | 6511 Springbrook Ave., 6, Rhinebeck, NY 12572 | 2009-04-14 |
| Find all providers in zip 12572 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062058 | James Saxon | Internal Medicine | 39 Chestnut St, Rhinebeck, NY 12572-1517 | 2008-12-24 |
| 1669563722 | Leopoldo Leonardo Abis Jr. | Internal Medicine | 18 Mulberry St, Rhinebeck, NY 12572-1528 | 2006-09-27 |
| 1689778904 | Milagros G Gamoso | Internal Medicine | 76 Chestnut St, Rhinebeck, NY 12572 | 2006-09-08 |
| 1174543839 | Mark J Zunich | Internal Medicine | 23 Spring Brook Park, Rhinebeck, NY 12572-1141 | 2006-07-19 |
| 1558597690 | Jeffrey David Mayne | Internal Medicine | 6511 Spring Brook Ave, Rhinebeck, NY 12572-3709 | 2009-06-03 |
| 1689833394 | Amy Elizabeth Cocina | Internal Medicine | 6511 Spring Brook Ave Ste 1001, Rhinebeck, NY 12572-3709 | 2008-06-06 |
| 1700053139 | Jack M Mancus Md PC | Internal Medicine | 155 E Market St, Rhinebeck, NY 12572-1720 | 2008-05-14 |
| 1568515104 | Summit Medical Healthcare, LLC | Internal Medicine | 91 Montgomery St, Rhinebeck, NY 12572-1122 | 2007-01-18 |
| 1568525293 | Ronald David Whitmont | Internal Medicine | 6250 Route 9, Rhinebeck, NY 12572-3629 | 2006-12-16 |
| 1053486530 | Uma Medapati | Internal Medicine | 6511 Spring Brook Ave, Rhinebeck, NY 12572-3709 | 2006-11-21 |
| Find all providers in RHINEBECK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.