CHARLES MANNIS M.D. NPI 1821141037

NPI Information

NPI: 1821141037
Provider Name: CHARLES MANNIS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3009 N BALLAS RD
SUITE 105B
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 432-2323
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Charles Mannis, M.D. is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Charles Mannis, M.D. NPI is 1821141037. 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:

3009 N BALLAS RD
SUITE 105B
SAINT LOUIS, MO
ZIP 63131-322
Phone: (314) 432-2323
Fax: (314) 432-5328

The enumeration date for this NPI number is 1/19/2007 and was last updated on 11/9/2007.

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	174400000X	Specialist		32416	MISSOURI	Yes

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	43092556563080A001	OTHER		WPS TRICARE
2	0900023	OTHER	MISSOURI	UNITED HEALTHCARE
3	3124702001	OTHER	MISSOURI	CIGNA
4	A12809	OTHER	MISSOURI	MERCY HEALTH PLANS
5	3567	OTHER	MISSOURI	GROUP HEALTH PLAN
6	4210117	OTHER	MISSOURI	AETNA
7	122201	OTHER	MISSOURI	HEALTHLINK
8	22185	OTHER	MISSOURI	BCBS OF MO (ANTHEM)
9	A12809	MEDICARE UPIN
10	P00195673	OTHER	MISSOURI	RR MEDICARE

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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