Active NPI
Jeffrey T Manning, M.D.
- Anesthesiology Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M1224
- Practice address
- 405 Londonderry Dr
Suite 105
Waco, TX 76712-7924 - Phone
- (254) 776-0266
- Fax
- (254) 776-2511
- NPI assigned
- Oct 12, 2006
- Last updated
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M1224 | TX | Primary |
Addresses
Primary practice location
405 Londonderry Dr
Suite 105
Waco, TX 76712-7924
Mailing address
PO Box 224137
Dallas, TX 75222-4137
Phone (254) 776-0266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at Houston, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 Londonderry Dr
Suite 105
Waco, TX 76712-7920
Phone (254) 776-0266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1224 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Anesthesiology | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Jeffrey T Manning MD PA | Anesthesiology | Past | Accepting new patients |
Locations
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Ownership & related parties
All facility ownership & control disclosures 10
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension Providence | Hospital | Corporate Director | Jul 1, 2020 |
| Ascension Seton Highland Lakes | Hospital | Corporate Director | Jul 1, 2020 |
| Ascension Seton Smithville | Hospital | Corporate Director | Jul 1, 2020 |
| Ascension Seton Bertram Health Center | Rural health clinic | Other | Jul 1, 2020 |
| Ascension Seton Kingsland Health Center | Rural health clinic | Corporate Director | Jul 1, 2020 |
| Ascension Seton Luling Health Center | Rural health clinic | Corporate Director | Jul 1, 2020 |
| Ascension Seton Lockhart Health Center Commerce | Rural health clinic | Corporate Director | Jul 1, 2020 |
| Ascension Seton Lockhart Health Center Church | Rural health clinic | Corporate Director | Jul 1, 2020 |
| Ascension Seton Bastrop Health Center | Rural health clinic | Corporate Director | Jul 1, 2020 |
| Ascension Seton Dripping Springs Health Center | Rural health clinic | Corporate Director | Jul 1, 2020 |
Owned or controlled facilities with NPI records 10
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Ascension Seton Highland Lakes
- Critical Access Hospital
- Burnet, TX
- NPI 1003833013
Corporate Director
-
dba Ascension Seton Kingsland Health Center
- Rural Health Clinic/Center
- Kingsland, TX
- NPI 1205263134
Corporate Director
-
dba Ascension Seton Dripping Springs Health Center
- Rural Health Clinic/Center
- Dripping Springs, TX
- NPI 1346862752
Corporate Director
-
dba Ascension Seton Luling Family Health Center
- Rural Health Clinic/Center
- Luling, TX
- NPI 1356682298
Corporate Director
-
dba Ascension Seton Smithville
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TX
- NPI 1598590101
Corporate Director
-
dba Ascension Seton Lockhart Family Health Center at South Commerce
- Rural Health Clinic/Center
- Lockhart, TX
- NPI 1639697949
Corporate Director
-
dba Ascension Seton Bastrop Health Center
- Rural Health Clinic/Center
- Bastrop, TX
- NPI 1700392602
Corporate Director
-
dba Ascension Seton Bertram Health Center
- Rural Health Clinic/Center
- Bertram, TX
- NPI 1871512228
Other
-
dba Ascension Seton Lockhart Family Health Center at Church
- Rural Health Clinic/Center
- Lockhart, TX
- NPI 1912425000
Corporate Director
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Waco, TX
- NPI 1174612857
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Anesthesiology
-
- Anesthesiology Physician
- Waco, TX
- NPI 1811957004
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1235228784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224137",
"city": "DALLAS",
"state": "TX",
"postal_code": "752224137",
"telephone_number": "254-776-0266",
"fax_number": "254-776-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 LONDONDERRY DR",
"address_2": "SUITE 105",
"city": "WACO",
"state": "TX",
"postal_code": "767127924",
"telephone_number": "254-776-0266",
"fax_number": "254-776-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JEFFREY",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "M1224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.