TIMOTHY MANUEL M.D. NPI 1689652158

NPI Information

NPI: 1689652158
Provider Name: TIMOTHY MANUEL, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
13065 OLD TESSON FERRY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 647-9797
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Timothy Manuel, M.D. is a general practice in Saint Louis, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Timothy Manuel, M.D. NPI is 1689652158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13065 OLD TESSON FERRY RD
SAINT LOUIS, MO
ZIP 63128-441
Phone: (314) 647-9797
Fax: (314) 270-8520

The enumeration date for this NPI number is 1/5/2006 and was last updated on 7/8/2016.

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	208D00000X	General Practice		35-065764	OHIO	No
2	208D00000X	General Practice		2016016256	MISSOURI	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	F75550	MEDICARE UPIN	OHIO

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

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