DR. CONNIE LYNN MANSKE MD NPI 1588778013

NPI Information

NPI: 1588778013
Provider Name: DR. CONNIE LYNN MANSKE, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
516 DELAWARE STREET SE
PWB, CLINIC 2A UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6100
Get Directions

DR. Connie Lynn Manske, MD is a nephrology internal medicine in Minneapolis, MN with 45 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Connie Lynn Manske, MD NPI is 1588778013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

516 DELAWARE STREET SE
PWB, CLINIC 2A UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6100

The NPI 1588778013 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 enumeration date for this NPI number is 8/19/2006 and was last updated on 2/15/2013.

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	207R00000X	Internal Medicine		30481	MINNESOTA	No
2	207RN0300X	Internal Medicine	Nephrology	30481	MINNESOTA	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	1009229	OTHER		PREFERREDONE
2	101482	OTHER		UCARE
3	31-00005	OTHER		MEDICA - PRIMARY
4	768245	OTHER		ARAZ
5	HP22165	OTHER		HEALTHPARTNERS
6	A96215	MEDICARE UPIN
7	390000195	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE
8	31620100	MEDICAID	WISCONSIN
9	7777470	MEDICAID	SOUTH DAKOTA
10	10387	MEDICAID	NORTH DAKOTA
11	110164032	MEDICARE ID-TYPE UNSPECIFIED		RAIL ROAD MEDICARE
12	0501452	MEDICAID	IOWA
13	2T161MA	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
14	31-24693	OTHER		MEDICA - CHOICE
15	0055289	MEDICAID	MONTANA
16	368285400	MEDICAID	MINNESOTA

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 »