LAURA M MANTINE (NPI# 1104084144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104084144 |
| Entity Type | Individual |
| Full Name | LAURA M MANTINE |
| Credential | M.D. |
| Practice Address |
4815 Liberty Ave Suite Gr-30 Pittsburgh PA 15224-2156 |
| Mailing Address |
131 Pleasant Dr Suite I Aliquippa PA 15001-1384 |
| Practice Telephone | 4126213844 |
| Practice Fax Number | 4126838560 |
| Mailing Telephone | 7243795400 |
| Mailing Fax Number | 7243022091 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD432550 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022060430001 | 05 |
| Street Address |
4815 LIBERTY AVE SUITE GR-30 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600425 | James M Rossetti | Internal Medicine | 4815 Liberty Ave, Ste Gr70, Pittsburgh, PA 15224-2156 | 2005-06-21 |
| 1790225910 | Stephanie Riffer | Physician Assistant | 4815 Liberty Ave, Suite Gr 30, Pittsburgh, PA 15224-2156 | 2017-03-07 |
| 1477098457 | Marcy Lindley | Nurse Practitioner | 4815 Liberty Ave, Suite 340, Pittsburgh, PA 15224-2156 | 2016-12-29 |
| 1508309600 | West Penn Eye Associates | Specialist | 4815 Liberty Ave, Suite M-25, Pittsburgh, PA 15224-2156 | 2016-11-22 |
| 1649729757 | Alexis Elizabeth Allan | Physician Assistant | 4815 Liberty Ave, Suite Gr30, Pittsburgh, PA 15224-2156 | 2016-09-30 |
| 1053701656 | Amanda Henning | Physician Assistant | 4815 Liberty Ave, Suite Gr 70, Pittsburgh, PA 15224-2156 | 2015-02-03 |
| 1962807651 | Allegheny Health Network | General Acute Care Hospital | 4815 Liberty Ave, Suite 448, Pittsburgh, PA 15224-2156 | 2014-10-24 |
| 1003219411 | Allegheny Health Network | Colon & Rectal Surgery | 4815 Liberty Ave, Suite M56, Pittsburgh, PA 15224-2156 | 2014-09-29 |
| 1700285111 | Brogan Nicole Keane | Physician Assistant | 4815 Liberty Ave, Suite 222, Pittsburgh, PA 15224-2156 | 2014-08-21 |
| 1780097212 | Roshanak Fereydouni | Optometrist | 4815 Liberty Ave, Pittsburgh, PA 15224-2156 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1558976092 | Upmc Community Medicine, Inc | Internal Medicine | 5215 Centre Ave Ste 100, Pittsburgh, PA 15232-1303 | 2020-09-11 |
| 1609485168 | Allegheny Clinic | Internal Medicine | 1748 Jancey Street, Pittsburgh, PA 15206-1100 | 2020-07-30 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1508491333 | Gabriel Perez Feliu | Internal Medicine | 5140 Liberty Ave Ste 150, Pittsburgh, PA 15224-2215 | 2020-03-12 |
| 1720627623 | St Clair Medical Services Inc | Internal Medicine | 1050 Bower Hill Rd Ste 301, Pittsburgh, PA 15243-1869 | 2019-12-26 |
| 1538701347 | Ann Elizabeth Patterson | Internal Medicine | 5700 Corporate Drive Suite 410, Pittsburgh, PA 15237 | 2019-10-14 |
| 1124582960 | William Paul Cunningham | Internal Medicine | Va Hospital, University Drive, University Drive, Pittsburgh, PA 15240 | 2019-01-25 |
| 1639663487 | Preferred Primary Care Physicians, Inc. | Internal Medicine | 2100 Jane St Ste 200, Pittsburgh, PA 15203-2076 | 2018-06-15 |
| 1710499868 | Preferred Primary Care Physicians, Inc. | Internal Medicine | 2100 Jane St Ste 201, Pittsburgh, PA 15203-2076 | 2017-10-30 |
| 1457881849 | Corinne Fanelli | Internal Medicine | 5200 Centre Ave Ste 409, Pittsburgh, PA 15232-1302 | 2017-06-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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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.