Teresita I Manubay, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MDR6794 Issued in MO

Practice address

1312 1St St
Kennett, MO 63857-2526

Phone

(573) 888-1224

Fax

(573) 888-3046

NPI assigned

May 31, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manubay Medical Clinic MD Inc

  dba Teresita I. Manubay M.D.

  • Pediatrics Physician
  • Kennett, MO
  • NPI 1861792103
  Authorized official Same address or phone

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235132648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572526",
            "telephone_number": "573-888-1224",
            "fax_number": "573-888-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572526",
            "telephone_number": "573-888-1224",
            "fax_number": "573-888-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUBAY",
        "first_name": "TERESITA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "MDR6794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Paul Malloy
• Ashley Nicole Malone-Durham, RBT
• Trinity Ciara Malone
• Manubay Medical Clinic MD Inc (Teresita I. Manubay M.D.)
• Teodoro A Manubay, M.D.
• Sophia Elizabeth Marino
• Keila Yasmine Marroquin
• Lisa Nicole Marshall
• Kresti Ann Martin
• Media Dahnine Martin

• Pediatrics Physician in Kennett, MO
• Providers in Kennett, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.