DR. GINGER LYNNE MANOS M.D. NPI 1023217908

NPI Information

NPI: 1023217908
Provider Name: DR. GINGER LYNNE MANOS, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
4615 NW 53RD AVE
GAINESVILLE, FL
ZIP 32653
Phone: (850) 398-2548
Get Directions

DR. Ginger Lynne Manos, M.D. is a vascular surgery surgery in Gainesville, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Ginger Lynne Manos, M.D. NPI is 1023217908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4615 NW 53RD AVE
GAINESVILLE, FL
ZIP 32653-809
Phone: (850) 398-2548
Fax: (850) 398-2548

The NPI 1023217908 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	32487	SOUTH CAROLINA	No
2	2086S0129X	Surgery	Vascular Surgery	ME112123	FLORIDA	Yes
3	2086S0129X	Surgery	Vascular Surgery	MD32487	SOUTH CAROLINA	No
4	2086S0129X	Surgery	Vascular Surgery	MD32127	ALABAMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012102000	MEDICAID	FLORIDA
2	161998	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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