Tom Joseph Mann, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

128361 Issued in MO

Practice address

7827 Highway N Ste 104
O Fallon, MO 63368-6704

Phone

(636) 377-1177

Fax

(636) 377-1911

NPI assigned

Sep 9, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1013464759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7827 HIGHWAY N STE 104",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686704",
            "telephone_number": "636-377-1177",
            "fax_number": "636-377-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7827 HIGHWAY N STE 104",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686704",
            "telephone_number": "636-377-1177",
            "fax_number": "636-377-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "TOM",
        "middle_name": "JOSEPH",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "128361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard J Malnar, M.D.
• Megan Malone, D.C.
• Miranda Dawn Malone, LE, LTA
• Autumn Chase Rosalia Maloney, DMD
• Vivek K Manchanda, MD
• Brian C Manning, MPT
• Jordan Marcinczyk
• Paul Richard Marion, PLPC
• John Marshall III, DMD
• Abigail Martin, OD

• Registered Nurse First Assistant in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Registered Nurse First Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.