DR. MANISH R GUPTA (NPI# 1124005863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124005863 |
| Entity Type | Individual |
| Full Name | DR. MANISH R GUPTA |
| Credential | DO |
| Practice Address |
1050 Isaac Streets Dr Suite 136 Oregon OH 43616-3291 |
| Practice Telephone | 4196965656 |
| Practice Fax Number | 4198448784 |
| Mailing Telephone | 4196965656 |
| Mailing Fax Number | 4198448784 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
35-07-6763-G | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2492922 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609356625 | Manish Gupta | Technician, Other | 4418 Bluebonnet Dr Ste 401, Stafford, TX 77477-2904 | 2018-08-20 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| 1891007936 | Manish Gupta | Dentist | 11201 Shaker Blvd Ste 136, Cleveland, OH 44104-3833 | 2010-07-06 |
| 1770687386 | Manish K Gupta | Orthopaedic Surgery | 9325 Glades Rd, Suite 205, Boca Raton, FL 33434-3988 | 2006-09-12 |
| 1558399238 | Manish Gupta | Surgery | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2006-06-29 |
| 1144262023 | Manish Gupta | Internal Medicine | 777 Walter Reed Blvd, Suite 201, Garland, TX 75042-5727 | 2006-06-12 |
| Street Address |
1050 ISAAC STREETS DR SUITE 136 |
| City | OREGON |
| State | OH |
| Zip Code | 43616-3291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758643 | Gary B. Coleman | Otolaryngology | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2005-05-23 |
| 1023568342 | Kristen Leigh Minard | Nurse Practitioner | 1050 Isaac Streets Dr, Suite 143, Oregon, OH 43616-3291 | 2016-10-11 |
| 1083018501 | Liesa A Davis | Nurse Practitioner | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2014-10-13 |
| 1851708085 | Dr. Ishrat Husain LLC | Clinic/Center | 1050 Isaac Streets Dr, Suite 102, Oregon, OH 43616-3291 | 2014-07-21 |
| 1356771778 | Gisella Oliver | Physician Assistant | 1050 Isaac Streets Dr, Suite 106, Oregon, OH 43616-3291 | 2013-11-21 |
| 1427316637 | Josephine F Collaco Md LLC | Family Medicine | 1050 Isaac Streets Dr, Suite 104, Oregon, OH 43616-3291 | 2012-04-25 |
| 1972891299 | Ashley Nicole Thomasson | Nurse Practitioner | 1050 Isaac Streets Dr, Suite 106, Oregon, OH 43616-3291 | 2011-07-20 |
| 1649593328 | E.n.t. Physicians Inc. | Hearing Aid Equipment | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2010-03-09 |
| 1013140169 | Colleen K Smith | Audiologist | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2009-08-24 |
| 1053583989 | Carissa R. Kunkel | Audiologist | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192304 | Roberta S Mckinley | Surgery | 5955 Carrbridge Ct, Galloway, OH 43119-1105 | 2020-07-29 |
| 1841707346 | Ptek Solutions | Surgery | 355 E Campus View Blvd Ste 290, Columbus, OH 43235-5680 | 2018-01-05 |
| 1336660034 | Andrew O'brien | Surgery | 915 Olentangy River Rd Fl 2, Columbus, OH 43212-3153 | 2017-07-03 |
| 1114248044 | Advanced Aesthetics and Rejuvination Inc | Surgery | 30701 Lorain Rd Ste A, North Olmsted, OH 44070-6325 | 2010-06-15 |
| 1700118114 | Vidas Dumasius | Surgery | 400 Matthew St Ste B-1, Marietta, OH 45750-1644 | 2010-02-10 |
| 1033382411 | Derek Cody | Surgery | 3925 Embassy Parkway, Suite 300, Akron, OH 44333 | 2008-04-08 |
| 1043381189 | Steven A Goldman Md Inc | Surgery | 3609 Park East Dr Ste 206, Beachwood, OH 44122-4309 | 2006-11-12 |
| 1922198357 | Michael P Binder | Surgery | 8587 East Ave, Mentor, OH 44060-4301 | 2006-10-14 |
| 1154416857 | Jason E Leedy | Surgery | 2060 Lander Rd, Mayfield Heights, OH 44124-4100 | 2006-10-04 |
| 1841225356 | Steven Scott Carp | Surgery | 4031 Massillon Road, Ste A, Uniontown, OH 44685 | 2006-07-12 |
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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.