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Deactivated NPI 1609921345 Deactivated / Inactive NPI Male Practitioner

Dr. John A Mannick , MD

Surgery - Vascular Surgery • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Mannick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 24, 2007
NPI Deactivation Date December 05, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Mannick, MD was a registered Surgery - Vascular Surgery practicing in Boston, MA. Throughout an active medical career spanning 12 years, Dr. Mannick provided care at the practice location at BRIGHAM & WOMENS HOSP until profile deactivation on 2019-12-05.

Practice Location & Contact Primary Location

Practice Address

Brigham & Womens Hosp
75 Francis Street

Boston, MA 02115

Telephone 6177326820
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
53 Specialists

Practicing in Boston, MA (169 Statewide)

Telehealth Adoption Rate
47.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MA 24878

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1528024270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 05, 2019

Record deactivated on December 05, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at BRIGHAM & WOMENS HOSP, 75 FRANCIS STREET, BOSTON, MA 02115 (Tel: 6177326820)

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Updated Business Mailing Address July 08, 2007

Registered at 75 FRANCIS ST, BOSTON, MA 021156110 (Tel: 6177326820)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MANNICK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #24878 in MA)

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Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609921345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: July 08, 2007
Deactivation Date: December 05, 2019

Mailing Address

75 Francis St

Boston, MA 021156110

Phone: 6177326820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.