CHRISTOPHER JOHN MANNARI (NPI# 1750348116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750348116 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER JOHN MANNARI |
| Credential | PA-C |
| Practice Address |
175 West Broadway Health Access Network Inc Lincoln ME 04457-0099 |
| Mailing Address |
Po Box 26 Health Access Network Inc Lee ME 04455-0026 |
| Practice Telephone | 2077946700 |
| Mailing Telephone | 2077382209 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA001241 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9103682 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA315 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | DEA | MM2265963 | 01 |
| Street Address |
175 WEST BROADWAY HEALTH ACCESS NETWORK INC, |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-0099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770542912 | Stratton John Shannon | Family Medicine | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-17 |
| 1811156904 | Health Access Network Inc | Family Medicine | 175 West Broadway, Lincoln, ME 04457 | 2008-06-04 |
| 1568621654 | Health Access Network Inc | Podiatrist | 175 West Broadway, Lincoln, ME 04457 | 2008-06-04 |
| 1093831836 | Paulo R.m. Antunes | Family Medicine | 175 West Broadway, Lincoln, ME 04457-0000 | 2007-03-22 |
| 1467468215 | Health Access Network, Inc | Clinic/Center | 175 West Broadway, Lincoln, ME 04457 | 2006-08-01 |
| 1487697009 | Kimberly A House | Social Worker | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-06-13 |
| 1871553024 | Kevin R Olsen | Physician Assistant | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-23 |
| 1083673966 | Thora House | Nurse Practitioner | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-21 |
| 1023077286 | Katherine V Page | Counselor | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-17 |
| 1932168101 | Amin M El Mallawany | Obstetrics & Gynecology | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1033327721 | Cheryl R Flinn | Physician Assistant | 6891 A St, Ste 210, Lincoln, NE 68510-4111 | 2007-05-18 |
| 1073530861 | Stephanie M Maclary | Physician Assistant | 3 Wake Robin Rd, Lincoln, RI 02865-4294 | 2006-07-16 |
| 1447201389 | Douglas Phelps | Physician Assistant | 4210 Pioneer Woods Dr Ste A, Lincoln, NE 68506-7561 | 2006-05-15 |
| 1073573184 | Lynn Colleen Mclaughlin | Physician Assistant | 6900 Van Dorn St, Suite 24, Lincoln, NE 68506-2882 | 2006-03-23 |
| 1922073618 | Jackie M Hinzman | Physician Assistant | 2662 Cornhusker Hwy, Suite 100, Lincoln, NE 68521-1464 | 2006-02-17 |
| 1437136405 | Jill S Rine | Physician Assistant | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2005-12-29 |
| 1407857253 | Joan Marie George | Physician Assistant | 4600 Valley Rd, Siute 200, Lincoln, NE 68510-4855 | 2005-08-02 |
| 1942827415 | Krista Dawn Patefield | Physician Assistant | 8207 Northwoods Dr Ste 100, Lincoln, NE 68505-2093 | 2020-07-01 |
| 1932748910 | Mason Beel | Physician Assistant | 6911 Van Dorn St Ste 1, Lincoln, NE 68506-6801 | 2019-12-23 |
| Find all providers in LINCOLN | ||||
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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.