DR. EDWARD MANNINA (NPI# 1477846913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477846913 |
Entity Type | Individual |
Full Name | DR. EDWARD MANNINA |
Credential | MD |
Practice Address |
1120 Robert Blvd Ste 100 Slidell LA 70458 |
Mailing Address |
1120 Robert Blvd Ste 100 Slidell LA 70458-2068 |
Practice Telephone | 9852808688 |
Practice Fax Number | 9852806642 |
Mailing Telephone | 9852808688 |
Mailing Fax Number | 9852806642 |
Enumeration Date | 2011-05-17 |
Last Update Date | 2020-01-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
302504 | LA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1120 ROBERT BLVD STE 100 |
City | SLIDELL |
State | LA |
Zip Code | 70458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
Find all providers in zip 70458 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144285396 | Robert G Swanton | Radiology | 1120 Robert Blvd Suite 100, Slidell, LA 70458 | 2006-04-19 |
1295790046 | Michael H Hayman | Radiology | 1001 Gause Blvd, Radiation Oncology Department, Slidell, LA 70458-2939 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720489362 | Acadiana Radiation Therapy LLC | Radiology | 525 N Lewis St, New Iberia, LA 70563-2015 | 2014-09-15 |
1235557000 | Audrey Dang | Radiology | 232 Southwood Dr, Gretna, LA 70056-7865 | 2014-03-31 |
1972931715 | David S Chang LLC | Radiology | 1200 E Mcneese St, Suite B, Lake Charles, LA 70607-4770 | 2013-10-14 |
1437442472 | Ross Edward Bland | Radiology | 411 Calypso Street, Monroe, LA 71201 | 2011-05-24 |
1730488974 | Jill Nicole Vincent | Radiology | 2000 Canal St Fl 1, New Orleans, LA 70112 | 2011-03-25 |
1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
1760708614 | Rachael E Harmon | Radiology | 3600 Prytania St., Ste. 35, New Orleans, LA 70115-3678 | 2010-04-18 |
1235364159 | Carl S Merlin | Radiology | 3 Poydras St, Unit 4f, New Orleans, LA 70130-1657 | 2009-05-20 |
1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
1376700591 | James Kyle Russo II | Radiology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-05-16 |
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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.