Pediatric Associates of Manhattan, P. a.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.

Practice address

1133 College Ave
Suite G-210
Manhattan, KS 66502-2770

Phone

(785) 537-9030

Fax

(785) 537-3334

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dorothy Ann Truitt

Title

Office Manager

Phone

(785) 537-9030

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kate Michelle Dove, DO

  • Pediatrics Physician
  • Manhattan, KS
  • NPI 1457522351
  NPD (past)
• Jason R Gallagher, M. D.

  • Pediatric Adolescent Medicine Physician
  • Manhattan, KS
  • NPI 1770668311
  NPD (past)
• Mallory Ann Shuler, LPC

  • Mental Health Counselor
  • Manhattan, KS
  • NPI 1023897956
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1093802456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE G-210",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-537-9030",
            "fax_number": "785-537-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE G-210",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-537-9030",
            "fax_number": "785-537-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "TRUITT",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-537-9030"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0000003920",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087970A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skye Payne, COTA
• Barbara Ann Pearson, PSY.D.
• Benjamin Clark Pease, M.D.
• Roger G Peck, MD
• Kristy L. Pederson-Archuleta, M.S., LMFT
• McKayla Peelen
• Kristin M Pelczarski, PH.D.
• Lindsay Pennock
• Amy E. Penrod-Filby, D.C.
• Danelle L Perry, MD

• Pediatric Adolescent Medicine Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Pediatric Adolescent Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.