NPIMap

Organization Active NPI

Manning,Johnson & Spencer, PA

Doing business as Ear, Nose and Throat Center of the Ozarks

  • Specialist
  • Springdale, AR
National Provider Identifier
1053492504
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4334 Issued in AR
Legal business name
MANNING,JOHNSON & SPENCER, PA
Doing business as
Ear, Nose and Throat Center of the Ozarks
Practice address
6823 Isaacs Orchard Rd
Springdale, AR 72762-6096
Phone
(479) 750-2080
Fax
(479) 750-2082
NPI assigned
Oct 18, 2006
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Lance A Manning, M.D.NPI 1255445102
Title
President
Phone
(479) 750-2080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E4334 AR Primary

Addresses

Primary practice location

6823 Isaacs Orchard Rd
Springdale, AR 72762-6096

Mailing address

6823 Isaacs Orchard Rd
Springdale, AR 72762-6096
Phone (479) 750-2080

Other identifiers 1

IdentifierTypeStateIssuer
157447001MedicaidAR

Other names 1

  • EAR, NOSE AND THROAT CENTER OF THE OZARKS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070122000253 AR Part B Supplier - Clinic/Group Practice 3870594641 Receives reassigned benefits from 11 practitioners
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1053492504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 ISAACS ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626096",
            "telephone_number": "479-750-2080",
            "fax_number": "479-750-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 ISAACS ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626096",
            "telephone_number": "479-750-2080",
            "fax_number": "479-750-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING,JOHNSON & SPENCER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-750-2080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E4334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157447001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAR, NOSE AND THROAT CENTER OF THE OZARKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.