JOHN HENRY MANI (NPI# 1548374234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548374234 |
| Entity Type | Individual |
| Full Name | JOHN HENRY MANI |
| Credential | MD |
| Practice Address |
4610 Kanawha Ave Sw Ste 401 South Charleston WV 25309-1367 |
| Mailing Address |
4605 Maccorkle Ave Sw South Charleston WV 25309-1311 |
| Practice Telephone | 3047687368 |
| Practice Fax Number | 3047681829 |
| Mailing Telephone | 3044144800 |
| Mailing Fax Number | 3044144801 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 14168 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | GROUP MEDICARE | B441 | 01 |
| WV | MTN ST BCBS | 001719626 | 01 |
| WV | 0131109000 | 05 | |
| WV | AETNA | 4242721 | 01 |
| WV | MEDICAID-GROUP | 3810024049 | 01 |
| Street Address |
4610 KANAWHA AVE SW STE 401 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295849982 | John Walton Hannah | Urology | 4610 Kanawha Ave Sw Ste 401, South Charleston, WV 25309-1367 | 2006-08-18 |
| 1194032227 | Victoria Leigh Takubo | Physician Assistant | 4610 Kanawha Ave Sw Ste 401, South Charleston, WV 25309-1367 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083893648 | Rodney Dean Md Pllc | Urology | 432 Division St, South Charleston, WV 25309-1402 | 2007-10-31 |
| 1174637862 | Kanawha Urology Associates Inc | Urology | 400 Division Street, Ste 6, South Charleston, WV 25309-1459 | 2006-08-18 |
| 1295849982 | John Walton Hannah | Urology | 4610 Kanawha Ave Sw Ste 401, South Charleston, WV 25309-1367 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153825 | Amjad H. Alwaal | Urology | 1115 20th St Ste 107, Huntington, WV 25703-0003 | 2013-10-15 |
| 1184062549 | Appalachian Regional Healthcare, Inc. | Urology | 407 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1477823060 | Steve Joseph Misak | Urology | 2118 Jefferson St, Bluefield, WV 24701-4708 | 2012-01-12 |
| 1639477284 | S Vyas Md Inc | Urology | 22 1/2 W 2nd Ave, Williamson, WV 25661-3506 | 2011-03-07 |
| 1992012728 | Ignacio H Luna Md Inc | Urology | 426 Eighth St., Suite 300, Glen Dale, WV 26038 | 2010-08-31 |
| 1649496571 | Shozo Kurusu | Urology | 1313 Quarrier St, Charleston, WV 25301-6002 | 2007-04-18 |
| 1184757163 | Naeem Pervaiz, M.d., P.C. | Urology | 608 New Hope Rd Ste 1, Princeton, WV 24740-2287 | 2007-03-13 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1235295577 | The Urology Center, Pllc | Urology | 9 Chenoweth Dr # B, Bridgeport, WV 26330-1675 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.