DR. RITA A. MANKUS (NPI# 1982623120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982623120 |
| Entity Type | Individual |
| Full Name | DR. RITA A. MANKUS |
| Credential | MD |
| Practice Address |
3920 St Francis Way Ste 220 Lafayette IN 47905 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 7655024110 |
| Practice Fax Number | 7654285951 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01042441 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100363250 | 05 | |
| IN | MEDICARE PTAN | M400062420 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2708 Ferry St, Lafayette, IN 479043021 | 7654491720 | 7654478318 |
| Street Address |
3920 ST FRANCIS WAY STE 220 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280670 | Salim S Abou Jaoude | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-01-25 |
| 1275912602 | Samuel Levi Worsham | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2015-05-18 |
| 1750677589 | Pradeep Gnanapragasam | Physical Medicine & Rehabilitation | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2011-06-20 |
| 1437200557 | Nini C Thomas | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2007-01-16 |
| 1841387529 | Andrew J Krutul | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2006-10-06 |
| 1881617538 | Jill M. Reisman | Physician Assistant | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-25 |
| 1477575769 | Mark D. Griffith | Physical Medicine & Rehabilitation | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-24 |
| 1205855418 | Imad E. Khadra | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2006-07-19 |
| 1740208180 | Shahid Ahsan | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1104014349 | Louisiana Kidney Update, LLC | Internal Medicine | 4811 Ambassador Caffery Pkwy Fl 4, Lafayette, LA 70508-7265 | 2007-10-12 |
| 1821216144 | Ladebe LLC | Internal Medicine | 804 Richland Ave, Lafayette, LA 70508-6661 | 2007-04-23 |
| 1821034778 | Alfonso Lebron-berges | Internal Medicine | 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2006-06-21 |
| 1992747349 | Acadiana Renal Physicians Amc | Internal Medicine | 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 | 2006-06-11 |
| 1447228184 | Akram Al-makki | Internal Medicine | 915 Mezzanine Dr, Suite A, Lafayette, IN 47905-8637 | 2006-03-09 |
| 1093706582 | Steven W Kraft | Internal Medicine | 2655 Crescent Dr, Suite C, Lafayette, CO 80026-3372 | 2005-11-02 |
| 1386635878 | Richard K Halterman | Internal Medicine | 2655 Cresenct Drive, Suite C, Lafayette, CO 80026-3376 | 2005-11-02 |
| 1275524761 | Karen M Lochhead | Internal Medicine | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2005-11-02 |
| 1275194193 | Total Health Clinic LLC | Internal Medicine | 610 Guilbeau Rd, Lafayette, LA 70506-8707 | 2019-06-21 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. RITA A. MANKUS.
| 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.