Marc Manganiello (NPI# 1801059837, PAC ID# 3577782341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1801059837 |
| PAC ID by PECOS | 3577782341 |
| Professional Enrollment ID | I20140910001820 |
| Full Name | Marc Manganiello |
| Organization Legal Name | MT AUBURN PROFESSIONAL SERVICES |
| Address |
300 Mount Auburn St Suite 302 Cambridge MA 02138-5665 |
| Phone Number | 6174921625 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6103725031 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220033 | NORTHEST HOSPITAL CORPORATION |
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| 220002 | MOUNT AUBURN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 Herrick St, Suite 219, Beverly, MA 01915-5900 | 9789270714 | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
| 41 Mall Rd, Burlington, MA 01805-0001 | 7817448000 | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
| 300 Mount Auburn St, Suite 302, Cambridge, MA 02138-5665 | 6174921625 | MT AUBURN PROFESSIONAL SERVICES |
| Organization Legal Name | MT AUBURN PROFESSIONAL SERVICES |
| Physicians | 242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Vosburg | General Surgery | Mt Auburn Professional Services | 355 Waverley Oaks Rd, 100 Mt Auburn Weight Management Center, Waltham, MA 02452-8480 |
| Ruma Rajbhandari | Gastroenterology | Mt Auburn Professional Services | 330 Mount Auburn St, Cambridge, MA 02138-5502 |
| Priya Shastri | Neurology | Mt Auburn Professional Services | 300 Mount Auburn St, Suite 316, Cambridge, MA 02138-5665 |
| Matthew A Carmody | Internal Medicine | Mt Auburn Professional Services | 330 Mt Auburn St, Cambridge, MA 02238 |
| Eman A Elkadry | Obstetrics/gynecology | Mt Auburn Professional Services | 725 Concord Ave, Suite 3600, Cambridge, MA 02138-5502 |
| Germaine Earle Cruickshanks | Obstetrics/gynecology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Kristen M Ferreira | Nurse Practitioner | Mt Auburn Professional Services | 625 Mount Auburn St, Suite 104, Cambridge, MA 02138-4518 |
| Catharine M Mintzer | Internal Medicine | Mt Auburn Professional Services | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 |
| Paul F Kasuba | Internal Medicine | Mt Auburn Professional Services | 521 Mt Auburn St, Suite 202, Watertown, MA 02472 |
| Kathlyn M Beaudry-nowak | Nurse Practitioner | Mt Auburn Professional Services | 268 Trapelo Rd, Geriatric Outreach Services, Belmont, MA 02478-1849 |
| Street Address |
300 MOUNT AUBURN ST SUITE 302 |
| City | CAMBRIDGE |
| State | MA |
| Zip | 02138-5665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priya Shastri | Neurology | Mt Auburn Professional Services | 300 Mount Auburn St, Suite 316, Cambridge, MA 02138-5665 |
| Ekaterina G Kehl | Hospitalist | Mt Auburn Professional Services | 300 Mount Auburn St, Suite 419, Cambridge, MA 02138-5665 |
| Helena O Taylor | Plastic and Reconstructive Surgery | Taylor and Sullivan Plastic Surgery LLC | 300 Mount Auburn St, Suite 304, Cambridge, MA 02138-5665 |
| Stephen R Sullivan | Plastic and Reconstructive Surgery | Taylor and Sullivan Plastic Surgery LLC | 300 Mount Auburn St, Suite 304, Cambridge, MA 02138-5665 |
| Burton D Rabinowitz | Cardiovascular Disease (cardiology) | 300 Mount Auburn St, Suite 511, Cambridge, MA 02138-5665 | |
| Anant Shenoy | Neurology | Mt Auburn Professional Services | 300 Mount Auburn St, Suite 316, Cambridge, MA 02138-5665 |
| Leonard M Zir | Cardiovascular Disease (cardiology) | Mount Auburn Cardiology Associates Inc | 300 Mount Auburn St, Suite 310, Cambridge, MA 02138-5665 |
| Stephanie A Foley | Nurse Practitioner | Mount Auburn Cardiology Associates Inc | 300 Mount Auburn St, Suite 310, Cambridge, MA 02138-5665 |
| Victor Gurewich | General Practice | 300 Mount Auburn St, Suite 305, Cambridge, MA 02138-5665 | |
| David L Miller | Pulmonary Disease | Mt Auburn Professional Services | 300 Mount Auburn St, Suite 419, Cambridge, MA 02138-5665 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace M Williams | Clinical Social Worker | 158 Mt Auburn St, Cambridge, MA 02138 | |
| Germaine Earle Cruickshanks | Obstetrics/gynecology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Lawrence Francis Borges Jr. | Gastroenterology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Amanda L Livingston | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Suite 410, Cambridge, MA 02138 |
| Stephen P Ranere | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| William R Brugge | Gastroenterology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Mary E Rhinehart | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Rashmi Kaura | Hospice/palliative Care | Mt Auburn Professional Services | 300 Mt Auburn St, Suite 517, Cambridge, MA 02138 |
| Arthur Shushan | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Jean Fechheimer | Obstetrics/gynecology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Find all physicians in zip 02138 | |||
| City | CAMBRIDGE |
| Zip Code | 02138 |
| Specialty | UROLOGY |
| City + Specialty | CAMBRIDGE + UROLOGY |
Please comment or provide details below to improve the information on Marc Manganiello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.