1689654709 NPI number — CHRISTOPHER M MANNING MD

Table of content: CHRISTOPHER M MANNING MD (NPI 1689654709)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689654709 NPI number — CHRISTOPHER M MANNING MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MANNING
Provider First Name:
CHRISTOPHER
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689654709
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 OXFORD DRIVE
Provider Second Line Business Mailing Address:
SUITE 211
Provider Business Mailing Address City Name:
BETHEL PARK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15102-1827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-283-0260
Provider Business Mailing Address Fax Number:
412-283-0070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 OXFORD DRIVE
Provider Second Line Business Practice Location Address:
SUITE 211
Provider Business Practice Location Address City Name:
BETHEL PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15102-1827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-283-0260
Provider Business Practice Location Address Fax Number:
412-283-0070
Provider Enumeration Date:
01/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  MD420594 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0106X , with the licence number: MD420594 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10286 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5608285 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410805 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7843659 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: CF3502 P00330827 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410805 . This is a "BEST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1700027 . This is a "HIGHMARK" identifier . This identifiers is of the category "OTHER".
  • Identifier: I27229 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1014628440001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6977443 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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