Individual provider Active NPI

Thad Manning, DO

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1053499673
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02807 Issued in KY
Practice address
169 Burt Rd
Lexington, KY 40503-2455
Phone
(859) 278-9242
Fax
(859) 278-0322
NPI assigned
Nov 1, 2006
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02807 KY Primary

Addresses

Primary practice location

169 Burt Rd
Lexington, KY 40503-2455

Mailing address

9613 Millard Highway
Pikeville, KY 41501-0195
Phone (606) 754-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000197 KY Practitioner - Family Practice 4880674902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ertel Medicine and Pediatrics, PSCGroup PAC ID 1759272479, 3 clinicians

Practice addresses (Care Compare)

1520 Boonesboro Rd
Winchester, KY 40391-8816

225 Hospital Dr
Winchester, KY 40391-7604
Phone (859) 737-6481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Thad R Manning D.O., PSC Family Medicine CurrentSince Jan 30, 2004 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Jan 1, 2023 Accepting new patients
Kentucky Hospital, LLC Past Accepting new patients
Clark Regional Physician Practices LLC Past Accepting new patients

Locations

169 Burt Rd
Lexington, KY 40503
Phone (859) 278-9242

9613 Millard Hwy
Pikeville, KY 41501
Phone (606) 552-0400

1520 Boonesboro Rd
Winchester, KY 40391
Phone (859) 744-0067

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: kax4429@yourcarecommunity.org
  • Direct secure messaging: thad.manning.1@19475.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1053499673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 MILLARD HIGHWAY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415010195",
            "telephone_number": "606-754-4707",
            "fax_number": "606-754-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032455",
            "telephone_number": "859-278-9242",
            "fax_number": "859-278-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "THAD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.