Manning Neurosurgery, PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

M9928 Issued in ID

Legal business name

MANNING NEUROSURGERY, PLLC

Practice address

6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907

Phone

(208) 327-5600

Fax

(208) 327-5602

NPI assigned

Jul 11, 2008

Last updated

May 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas C Manning, MDNPI 1861501637

Title

Owner

Phone

(208) 327-5600

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Practitioners 3

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.

• Thomas Crellin Manning, MD

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1861501637
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey G Flaker, PA

  • Physician Assistant
  • Boise, ID
  • NPI 1295780062
  Medicare reassignment Care Compare group
• David Schneider-Aguilera, PA

  • Physician Assistant
  • Boise, ID
  • NPI 1033634936
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1144484932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048907",
            "telephone_number": "208-327-5600",
            "fax_number": "208-327-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048907",
            "telephone_number": "208-327-5600",
            "fax_number": "208-327-5602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 E Overland Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836429005",
            "country_code": "US",
            "telephone_number": "208-327-5600",
            "fax_number": "208-327-5602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANNING NEUROSURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-327-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M9928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "500612788",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8Q040",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144484932",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Manis Jr., DMD
• Marc Manko, PA-C
• Katherine Elizabeth Mankus, PA-C
• Chelsea Mannebach, PHARM.D.
• Brittany Alyse Mannie, SLP
• Merridith Manning, LMFT
• Thomas Crellin Manning, MD
• Molly J Mannschreck, M.D.
• C Paul Mansfield, CRNA
• Marcy B. Mansor-Jess, PT

• Neurological Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Neurological Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.