Manish Raj Gupta (NPI# 1124005863, PAC ID# 6507846615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1124005863 |
| PAC ID by PECOS | 6507846615 |
| Professional Enrollment ID | I20040817000061 |
| Full Name | Manish Raj Gupta |
| Address |
1050 Isaac Streets Dr Suite 136 Oregon OH 43616-8203 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360081 | MERCY ST CHARLES HOSPITAL |
| 360259 | BAY PARK COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1050 Isaac Streets Dr, Suite 136, Oregon, OH 43616-8203 |
| Street Address |
1050 ISAAC STREETS DR SUITE 136 |
| City | OREGON |
| State | OH |
| Zip | 43616-8203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afser Shariff | Otolaryngology | Ent Physicians Inc | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-8203 |
| Nancy Keeton | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1050 Isaac Streets Dr, Suite 126, Oregon, OH 43616-3243 |
| Leonard Joseph Buck | Orthopedic Surgery | 1050 Isaac Streets Dr, Suite 116, Oregon, OH 43616-3243 | |
| Anthony Atkins | Family Medicine | Mercy Health Physicians - North, LLC. | 1050 Isaac Streets Dr, Suite 143, Oregon, OH 43616-8204 |
| Richard David Wolff | Podiatry | 1050 Isaac Streets Dr, Suite 133, Oregon, OH 43616-8203 | |
| Josephine F Collaco | Family Medicine | Mercy Health Physicians - North, LLC. | 1050 Isaac Streets Dr, Suite 143, Oregon, OH 43616-8204 |
| Dawn M Ditoro | Qualified Audiologist | Ent Physicians Inc | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-8203 |
| Ishrat Husain | General Surgery | 1050 Isaac Streets Dr, Suite 102, Oregon, OH 43616-3243 | |
| Vijay Adappa | Otolaryngology | Ent Physicians Inc | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-8203 |
| Nicole Marie Kane | Nurse Practitioner | Ent Physicians Inc | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-8203 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Cavaliere | Clinical Social Worker | 860 Ansonia St, Suite 13a, Oregon, OH 43616-3177 | |
| Donald Lyles | Chiropractic | 860 Ansonia St, Suite 12, Oregon, OH 43616-3193 | |
| Alec N Mian | Pathology | Associated Pathologists Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Tufal M Khan | Psychiatry | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Heather Polaski | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Kristin M Pierson | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Mary E Grant | Certified Clinical Nurse Specialist (cns) | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Wesley D Martus | Emergency Medicine | Mercy Emergency Care Services Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Monica R Gorcos | Psychiatry | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Amy B Clark | Certified Clinical Nurse Specialist (cns) | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Find all physicians in zip 43616 | |||
| City | OREGON |
| Zip Code | 43616 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | OREGON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Manish Raj Gupta.
| 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.