FALLON STROTHER MCMANUS M.D. NPI 1457593618

NPI Information

  • NPI: 1457593618
  • Provider Name: FALLON STROTHER MCMANUS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 19D2087147
  • Address: 103 CENTRE SARCELLE BLVD
    SUITE 506
    YOUNGSVILLE, LA
    ZIP 70592
  • Phone: (337) 289-8978

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NPI Details

Fallon Strother Mcmanus, M.D. is a family medicine in Youngsville, LA with 17 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Fallon Strother Mcmanus, M.D. NPI is 1457593618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 CENTRE SARCELLE BLVD
SUITE 506
YOUNGSVILLE, LA
ZIP 70592
Phone: (337) 289-8978
Fax: (337) 289-8977

The NPI 1457593618 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 CLIA number assigned to this NPI record is 19D2087147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 10/21/2014.

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
1207Q00000XFamily Medicine204192LOUISIANAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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
11989673MEDICAIDLOUISIANA

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: 11/21/2025

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