PHILLIP JOSEPH MANNO (NPI# 1649271438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649271438 |
| Entity Type | Individual |
| Full Name | PHILLIP JOSEPH MANNO |
| Credential | MD |
| Practice Address |
172 Kinsley St Nashua NH 03060-3648 |
| Mailing Address |
C/o St Mary's Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 6038823408 |
| Practice Fax Number | 6038800327 |
| Mailing Telephone | 2077778695 |
| Mailing Fax Number | 2087778800 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
15718 | NH | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
6440 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1021599 | 05 | |
| NH | 3077332 | 05 |
| Street Address |
172 KINSLEY ST |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616269 | St Joseph Hospital of Nashua Nh | Psychiatric Unit | 172 Kinsley St, Nashua, NH 03060-3648 | 2020-07-13 |
| 1417595331 | Casey Melissa Campbell | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2019-12-11 |
| 1417414293 | Tara Leigh Moore | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2019-02-27 |
| 1851862759 | Denis Paul Dessureault | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2018-12-17 |
| 1043763352 | Ashley Pearse | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2016-08-03 |
| 1750769469 | Kimberly Badessa | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2015-05-13 |
| 1649657271 | Tammy Shultz | Nurse Anesthetist, Certified Registered | 172 Kinsley St, Nashua, NH 03060-3648 | 2015-05-04 |
| 1750795845 | Kristen Ann Hirsch Murphy | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2014-06-17 |
| 1003232612 | Emily Diconza | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2014-03-07 |
| 1235573296 | Deepak Reddy Vatti | Emergency Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356302822 | Nancy S Chun | Internal Medicine | 10 Prospect St., Second Floor, Nashua, NH 03060 | 2006-03-31 |
| 1831175314 | John Posner | Internal Medicine | 166 Kinsley St, Nashua, NH 03060-3676 | 2005-12-16 |
| 1568803971 | Sivraj Muralikrishnan | Internal Medicine | 2300 Southwood Dr, Nashua, NH 03063 | 2013-07-13 |
| 1578705307 | Oncology Center | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2009-03-25 |
| 1497862569 | Gautami Sreeramoju Rao | Internal Medicine | 10 Prospect St, Suite 202, Nashua, NH 03060-3922 | 2006-08-24 |
| 1538276118 | Sharynn D Hall | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2006-08-23 |
| 1578540670 | Mary Voltz | Internal Medicine | 166 Kinsley St, Nashua, NH 03060-3676 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622801 | Yoko Fukuda | Internal Medicine | 155 Borthwick Ave Ste C, Portsmouth, NH 03801-7156 | 2008-06-10 |
| 1063470011 | Zachary S Spigelman | Internal Medicine | 6 Tsienneto Rd Ste 204, Derry, NH 03038-1584 | 2006-05-01 |
| 1346223385 | Gabriele Southgate | Internal Medicine | 87 Mcgregor Street, Hematology/oncology, Manchester, NH 03102 | 2005-11-23 |
| 1710971684 | Douglas J Weckstein | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2005-09-07 |
| 1033523733 | Bhavina Batukbhai Sharma | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2014-06-20 |
| 1699119842 | Garrett Thomas Wasp | Internal Medicine | One Medical Center Dr, Hematology/oncology, Lebanon, NH 03756-0001 | 2013-04-18 |
| 1326203712 | Arvind Randhawa | Internal Medicine | 590 Court St, Cheshire Medical Center- Dhk, Keene, NH 03431-1719 | 2008-07-24 |
| 1548436520 | Frederick Lansigan | Internal Medicine | 1 Medical Center Dr, Hematology-oncology, Lebanon, NH 03756-1000 | 2008-04-30 |
| 1023294949 | Monic R Drescher | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock- Hematology/oncology, Lebanon, NH 03756-1000 | 2008-01-10 |
| 1376750562 | Christine Lynn Wasilewski | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2007-05-17 |
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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.