Primary Care Physicians of Manhattan

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0416737 Issued in KS

Legal business name

PRIMARY CARE PHYSICIANS OF MANHATTAN

Practice address

1133 College Ave
Suite C-143
Manhattan, KS 66502-2770

Phone

(785) 537-4940

Fax

(785) 537-0836

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

James Dixon Gardner, M.D.

Title

Ceo

Phone

(785) 537-4940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164531232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE C-143",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE C-143",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS OF MANHATTAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-537-4940",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0416737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Price
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• Jacob W Priddle, DC
• Katelyn Priddle
• Steven Allen Priddle, M.D.
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• Kaylee Proctor, CD
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• Hannah Protzman
• Michael Patrick Pruss, CRNA

• Internal Medicine Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.