PEDIATRIC ASSOCIATES OF MANHATTAN P. A. NPI 1093802456

NPI Information

NPI: 1093802456
Provider Name: PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 17D0956676

Address:
1133 COLLEGE AVE
SUITE G-210
MANHATTAN, KS
ZIP 66502
Phone: (785) 537-9030
Get Directions

PEDIATRIC ASSOCIATES OF MANHATTAN, P. A. is an adolescent medicine pediatrics in Manhattan, KS. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC ASSOCIATES OF MANHATTAN, P. A. NPI is 1093802456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1133 COLLEGE AVE
SUITE G-210
MANHATTAN, KS
ZIP 66502-770
Phone: (785) 537-9030
Fax: (785) 537-3334

The provider's authorized official is Dorothy Ann Truitt .
The authorized official title is Office Manager and has the following contact phone number (785) 537-9030.

The CLIA number assigned to this NPI record is 17D0956676 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 3/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100087970A	MEDICAID	KANSAS
2	0000003920	OTHER	KANSAS	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »