Marcelo J Mantala
Medical Specialty
Professional ID
- NPI: 1710089644
- PECOS ID: 8022110709
- Enrollment ID: I20070227000276
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1990
Hospital Service
- Hospital CCN1: 260065
- Business Name (LBN)1: Mercy Hospital Springfield
- Hospital CCN2: 260040
- Business Name (LBN)2: Cox Medical Centers
- Hospital CCN3: 040027
- Business Name (LBN)3: Baxter Regional Medical Center
Medical Practices
- Organization Name: Select Specialty Hospital Springfield Inc
- Group Practice ID assigned by PECOS: 9638250764
- Number of Group Practice member: 7
Location
- Address1: 1630 E Primrose St
- Address2: Select Specialty Hospital Springfield
- City: Springfield
- State: Missouri
- Zip Code: 65804
- Phone Number: (417)885-4700
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):