Provider Demographics
NPI:1326138587
Name:MANSMANN, PARIS TAYLOR (MD)
Entity Type:Individual
Prefix:DR
First Name:PARIS
Middle Name:TAYLOR
Last Name:MANSMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FOREST FALLS DRIVE, UNIT 10A
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097
Mailing Address - Country:US
Mailing Address - Phone:207-829-5337
Mailing Address - Fax:
Practice Address - Street 1:10 FOREST FALLS DR
Practice Address - Street 2:SHEARWATER ALLERGY SUITE 9B
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-2298
Practice Address - Country:US
Practice Address - Phone:207-846-7676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015387207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEM189751OtherCIGNA
MEME2339OtherMEDNET
ME3468669006OtherCIGNA PAL NO
ME039158OtherANTHEM
ME2428546OtherAETNA HMO
ME030005280OtherRAILROAD MEDICARE
ME4265101OtherAETNA NON HMO
ME039158OtherANTHEM
ME3468669006OtherCIGNA PAL NO