Andrey E Manov (NPI# 1801829676, PAC ID# 6406834589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1801829676 |
| PAC ID by PECOS | 6406834589 |
| Professional Enrollment ID | I20040713001619 |
| Full Name | Andrey E Manov |
| Organization Legal Name | PPG HEALTH PA |
| Address |
1650 W Rosedale St 301 Plaza Primary Care Fort Worth TX 76104-7400 |
| Phone Number | 8177257880 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7113904657 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450672 | MEDICAL CITY FORT WORTH |
| 450565 | PALO PINTO GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1650 W Rosedale St, 301 Plaza Primary Care, Fort Worth, TX 76104-7400 | 8177257880 | PPG HEALTH PA |
| Organization Legal Name | PPG HEALTH PA |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diem Diana Dang | Nurse Practitioner | Ppg Health Pa | 265 Se John Jones Dr, Suite 102, Burleson, TX 76028-8356 |
| Rachel Onorato | Physician Assistant | Ppg Health Pa | 3101 Churchill Dr, Suite 115, Flower Mound, TX 75022-2717 |
| Raju Raghunath | Family Medicine | Ppg Health Pa | 9947 N Macarthur Blvd, Suite 150, Irving, TX 75063-4716 |
| Melanie Gray | Family Medicine | Ppg Health Pa | 6000 Colleyville Blvd, Suite 150, Colleyville, TX 76034-8024 |
| Robyn L Ward | Physician Assistant | Ppg Health Pa | 1000 N Cooper St, Arlington, TX 76011-5540 |
| Tsr Murugan | Nephrology | Ppg Health Pa | 203 W Randol Mill Rd, Arlington, TX 76011-5857 |
| Avinash Vallurupalli | Nephrology | Ppg Health Pa | 1000 W Cannon St, Fort Worth, TX 76104-3029 |
| Satish Chandraprakasam | Cardiovascular Disease (cardiology) | Ppg Health Pa | 1000 N Cooper St, Arlington, TX 76011-5540 |
| Victoria Florez | Physician Assistant | Ppg Health Pa | 1000 N Cooper St, Arlington, TX 76011-5540 |
| Tatiana Carolina Daniel | Nurse Practitioner | Ppg Health Pa | 1000 N Cooper St, Arlington, TX 76011-5540 |
| Street Address |
1650 W ROSEDALE ST 301 PLAZA PRIMARY CARE |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-7400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Lam | Podiatry | 1650 W Rosedale St, Suite 204, Fort Worth, TX 76104-7400 | |
| Dan A Willis | Ophthalmology | 1650 W Rosedale St, Suite 200, Fort Worth, TX 76104-7426 | |
| Carol H Bean | Psychologist, Clinical | The Telos Project | 1650 W Rosedale St, Suite 305, Fort Worth, TX 76104-7400 |
| Anthony M Bean | Psychologist, Clinical | The Telos Project | 1650 W Rosedale St, Suite 305, Fort Worth, TX 76104-7400 |
| Alexandra L Marks | Psychologist, Clinical | The Telos Project | 1650 W Rosedale St, Suite 305, Fort Worth, TX 76104-7400 |
| Mohamed E Ali | Pulmonary Disease | 1650 W Rosedale St, Suite 204, Fort Worth, TX 76104-7400 | |
| Phillip E Cohen | Internal Medicine | Ppg Health Pa | 1650 W Rosedale St, Fort Worth, TX 76104-7400 |
| Donna Do Cota | Internal Medicine | Ppg Health Pa | 1650 W Rosedale St, 301 Plaza Primary Care, Fort Worth, TX 76104-7400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | FORT WORTH + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Andrey E Manov.
| 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.