PHILIP C MANTOR MD NPI 1184692360

NPI Information

NPI: 1184692360
Provider Name: PHILIP C MANTOR, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
940 NE 13TH ST
JIMMY EVEREST TOWER STE. 2000
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-2006
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Philip C Mantor, MD is a pediatric surgery surgery in Oklahoma City, OK. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Philip C Mantor, MD NPI is 1184692360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

940 NE 13TH ST
JIMMY EVEREST TOWER STE. 2000
OKLAHOMA CITY, OK
ZIP 73104-008
Phone: (405) 271-2006

The NPI 1184692360 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 3/14/2006 and was last updated on 9/5/2014.

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	208600000X	Surgery		16328	OKLAHOMA	No
2	2086S0102X	Surgery	Surgical Critical Care	16328	OKLAHOMA	No
3	2086S0120X	Surgery	Pediatric Surgery	16328	OKLAHOMA	Yes

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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