GERALD P MANCUSO (NPI# 1508970906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508970906 |
| Entity Type | Individual |
| Full Name | GERALD P MANCUSO |
| Credential | DDS |
| Practice Address |
2921 13th Street Columbus NE 68601-4829 |
| Practice Telephone | 4025647180 |
| Practice Fax Number | 4025647042 |
| Mailing Telephone | 4025647180 |
| Mailing Fax Number | 4025647042 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3359 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47055108713 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972571016 | Gerald John Mancuso | Dentist | 7930 Blondo St, Omaha, NE 68134-6661 | 2006-03-14 |
| 1427012574 | Gerald M Mancuso | Internal Medicine | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114 | 2006-04-14 |
| Street Address |
2921 13TH STREET |
| City | COLUMBUS |
| State | NE |
| Zip Code | 68601-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801900295 | Stephen J Mancuso | Dentist | 2921 13th Street, Columbus, NE 68601-4829 | 2006-08-19 |
| 1083728489 | Joseph A Quattrocchi | Dentist | 2921 13th Street, Columbus, NE 68601-4829 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612433 | Cassie L. Snodgrass | Massage Therapist | 3763 39th Ave Suite 100, Columbus, NE 68601 | 2017-04-10 |
| 1184176935 | Janelle Ryan | Speech-Language Pathologist | 2410 16th Street, Columbus, NE 68601 | 2016-10-27 |
| 1366994113 | Lorie Young | Speech-Language Pathologist | 2508 27th Street, Columbus, NE 68601 | 2016-10-27 |
| 1649722497 | Joette Post | Speech-Language Pathologist | 4100 Adamy Street, Columbus, NE 68601 | 2016-10-27 |
| 1699144360 | Sara Werner | Speech-Language Pathologist | 3744 83rd St, Columbus, NE 68601 | 2015-09-23 |
| 1811376627 | Karla Kay Wagner | Counselor | 3309 31st Street, Columbus, NE 68601 | 2015-05-26 |
| 1295014983 | Amberlace A Citta | Nurse Practitioner | 3775 45th Avenue, Columbus, NE 68601 | 2011-08-11 |
| 1457630535 | Erin Brooke Schmidt | Speech-Language Pathologist | 3005 35th Street, Columbus, NE 68601 | 2011-08-08 |
| 1831483239 | Kelli Parsons | Counselor | 3314 26th St Ste A, Columbus, NE 68601 | 2011-06-02 |
| 1699926758 | East Central District Health Department Reproductive Health Clinic | Obstetrics & Gynecology | 2282 East 32nd Ave, Columbus, NE 68601 | 2008-10-08 |
| Find all providers in zip 68601 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208874 | West Broad Dental Partners LLP | Dentist | 4089 W Broad St, Columbus, OH 43228-1614 | 2020-09-07 |
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1760004592 | Stephanie Leigh Sforza | Dentist | 1511 Runaway Bay Dr Apt 1a, Columbus, OH 43204-4812 | 2020-05-14 |
| 1487293403 | Columbus Dental Corp | Dentist | 1641 N National Rd, Columbus, IN 47201-5579 | 2019-12-23 |
| 1699319509 | Justin D. Shiflett, Dds, Inc. | Dentist | 3805 N High St Ste 207, Columbus, OH 43214-3539 | 2019-11-04 |
| 1730721499 | Tanner Jameson Mitchell | Dentist | 3105 Middle Dr Ste A, Columbus, IN 47203-4472 | 2019-10-15 |
| 1588143838 | Mark Christopher Pagano | Dentist | 5478 N Hamilton Rd, Columbus, OH 43230-1320 | 2018-08-08 |
| 1336630128 | Annie Courtemanche | Dentist | 6499 E Broad St Ste 110, Columbus, OH 43213-6506 | 2018-05-29 |
| 1619468766 | Blue Ridge Community Health Services Inc | Dentist | 158 White Dr, Columbus, NC 28722-9465 | 2018-05-24 |
| Find all providers in COLUMBUS | ||||
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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.