Active NPI
Thad Manning, DO
- Family Medicine Physician
- Lexington, KY
National Provider Identifier
1053499673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02807
- Practice address
- 169 Burt Rd
Lexington, KY 40503-2455 - Phone
- (859) 278-9242
- Fax
- (859) 278-0322
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64069271 | Medicaid | KY |
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
Enrollment records 1
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, PSC
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
- Amedisys SP-Ky, LLC Dba Adoration Home Health
- Commonwealth Home Health
- Clark Regional Medical Center
- Baptist Health Lexington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02807 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Regional Physician Practices, LLC | Family Medicine | Current | Accepting new patients |
| Clark Regional Physician Practices LLC | Current | Accepting new patients | |
| Thad R Manning D.O., PSC | Family Medicine | Current | 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
225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528
1520 Boonesboro Rd
Winchester, KY 40391
Phone (859) 744-0067
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
- thad.manning.1@19475.direct.athenahealth.com
- kax4429@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Winchester, KY
- NPI 1114282605
Family Medicine
-
- Rural Health Clinic/Center
- Winchester, KY
- NPI 1831852771
-
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mt Sterling, KY
- NPI 1326096140
-
- Home Health Agency
- Lexington, KY
- NPI 1336510080
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64069271",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.