Gary Lynn Manley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1209 Issued in NV

Practice address

3910 Pecos McLeod Ste D100
Las Vegas, NV 89121-7445

Phone

(702) 629-7577

NPI assigned

Apr 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1164749693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE D100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217445",
            "telephone_number": "702-629-7577",
            "fax_number": "702-933-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE D100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217445",
            "telephone_number": "702-629-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "GARY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle D Manka, RRT
• Rebecca Mankins
• Alma Bautista Manlangit, R.N , APRN FNP-C
• Juan Samuel Manlangit
• Brooke Manley, CPC-I
• Niesa L Manley
• Lylkayra Manligas
• Kinyatta Mann-Lashaul
• Alex Mann
• Ameetinder Mann, APRN

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.