Basic Information
Provider Information
NPI: 1639581473
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MANN
FirstName: JAMES
MiddleName: ARTHUR
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNIVERSITY OF COLORADO MEDICAL CAMPUS - CARDIOLOGY
Address2: 12631 E. 17TH AVE, MAIL STOP B130
City: AURORA
State: CO
PostalCode: 80045
CountryCode: US
TelephoneNumber: 3037242105
FaxNumber:  
Practice Location
Address1: 222 PIEDMONT AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452194231
CountryCode: US
TelephoneNumber: 5134758521
FaxNumber: 5135840312
Other Information
ProviderEnumerationDate: 05/28/2014
LastUpdateDate: 09/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X35.129530OHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X35.129530OHN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RC0001X35.129530OHY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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