Boyd W Manges, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301060845 Issued in MI

Practice address

3434 M 119
Suite C
Harbor Springs, MI 49740-9373

Phone

(231) 348-9900

Fax

(989) 358-3780

NPI assigned

Jul 1, 2006

Last updated

Apr 11, 2022By 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 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: boyd.manges.p1@direct.alcona.nextgenshare.com

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1063441137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE STE C",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 M 119",
            "address_2": "SUITE C",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409373",
            "telephone_number": "231-348-9900",
            "fax_number": "989-358-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGES",
        "first_name": "BOYD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060845",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301060845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080A760010",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772912940",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boyd.manges.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3434 M 119",
            "address_2": "Suite C",
            "city": "Harbor Springs",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497409373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Ann Lavoie, M.A.
• Dennis Lawrence, PSY.D.
• Mandi Leigh Lloyd, CNA
• Thomas D. Loomis, MD
• Kelly Jo Malone
• Madison McCullough, LMSW
• Jean M. McDonough, F.N.P.
• Harriet Kathryn McGraw, D.D.S.
• Michael Yff, M.D.
• Mike Pierce DDS P.C.

• Pediatrics Physician in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.