Jeffrey T Manning, M.D.
Individual provider Active NPI Anesthesiology Physician · Waco, TX
NPI 1235228784 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1235228784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- M1224 (TX)
- Practice address
- 405 Londonderry Dr
Suite 105
Waco, TX 76712-7924 - Phone
- (254) 776-0266
- Fax
- (254) 776-2511
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 10
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at Houston, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid Tex Anesthesia Associates, P.a.
Practice addresses (Care Compare)
405 Londonderry Dr
Suite 105
Waco, TX 76712-7920
Phone (254) 776-0266
Hospital & facility affiliations
- Ascension Providence
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 10
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050919000772 | TX | Practitioner - Anesthesiology | 5799718169 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Anesthesiology | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M1224 | TX | Yes |
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
Other providers in Waco, TX
- Tristan Bailey Manasco
- Aristotle K. Manda
- Savannah Manes
- Jena Mann
- Angel Manning
- Michelle T Manning
- Pamela Kaye Manning
- Tamara Manning
- Brandy Michele Manuel
- Elizabeth Ann Manzano
All providers in Waco, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.