Manx Quayle, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5079 Issued in AK

Practice address

1626 30TH Ave Ste 202
Suite 202
Fairbanks, AK 99701-7423

Phone

(907) 456-3668

Fax

(907) 456-8637

NPI assigned

Feb 22, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aurora Foot & Ankle Surgical Specialists, LLC

  • Podiatrist
  • Fairbanks, AK
  • NPI 1033441423
  Medicare reassignment NPD Authorized official
• Karolina Priebe DNP PC

  dba Alaska Lifestyle and Weight Loss Center

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1588334106
  NPD (past)
• Christensen Foot & Ankle Clinic

  • Podiatrist
  • Pocatello, ID
  • NPI 1598197857
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023083870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE STE 202",
            "address_2": "SUITE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017423",
            "telephone_number": "907-456-3668",
            "fax_number": "907-456-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE STE 202",
            "address_2": "SUITE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017423",
            "telephone_number": "907-456-3668",
            "fax_number": "907-456-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAYLE",
        "first_name": "MANX",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AK",
            "license": "5079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD4324",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Pruce, MA
• Connor David Puetzer
• Rebecca Anne Puetzer
• George Denali Purvis
• Lynda Jean Purvis, CDC I
• Quest Counseling and Wellness LLC
• Quest Diagnostics Clinical Laboratories Inc.
• Kyler Christopher Quick
• Margaret Claire Quirion, CRNA
• William Walter Quirk, MD

• Podiatrist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Podiatrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.