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DR. ANDREA RENATE MANZO MD NPI 1669545679


NPI Information

NPI: 1669545679
Provider Name: DR. ANDREA RENATE MANZO, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

DR. Andrea Renate Manzo, MD is a diagnostic radiology radiology in Tacoma, WA with 29 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andrea Renate Manzo, MD NPI is 1669545679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402-900
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1669545679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, single view (HCPCS:74000)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 11/16/2006 and was last updated on 12/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingMD164757OREGONNo
22085B0100XRadiologyBody ImagingMD00043385WASHINGTONNo
32085R0202XRadiologyDiagnostic RadiologyMD164757OREGONNo
42085R0202XRadiologyDiagnostic RadiologyMD00043385WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18803056OTHERWASHINGTONMEDICARE PIN TRA KING COUNTY
28951848OTHERWASHINGTONLABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
3500671257MEDICAIDOREGON
4184431OTHERWASHINGTONLABOR AND INDUSTRIES/WC UNION AVENUE OPEN
5G8878588OTHERWASHINGTONPTAN-CMBC
6G8882929OTHERWASHINGTONPTAN-MIO1
70249528OTHERWASHINGTONLABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
83231MAOTHERWASHINGTONREGENCE BLUE SHIELD TRA
98949635OTHERWASHINGTONLABOR AND INDUSTRIES CRIME VICTIMS-CAROL MILGARD BREAST CENTER
10G8927637OTHERWASHINGTONPTAN-UAOM
11P00689845OTHERWASHINGTONRR MEDICARE-CAROL MILGARD BREAST CENTER
120243528OTHERWASHINGTONLABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER
13184430OTHERWASHINGTONLABOR AND INDUSTRIES/WC TRA
147251MAOTHERWASHINGTONREGENCE BLUE SHIELD UNION AVENUE OPEN
15G8803535OTHERWASHINGTONPTAN-WESTERN STATE HOSPITAL
168411456MEDICAIDWASHINGTON

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: 11/14/2023

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.