Individual provider Active NPI

James Patrick Manning III, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Draper, UT
National Provider Identifier
1255725032
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
12941670-1205 Issued in UT
Practice address
723 E 12200 S Ste 200
Draper, UT 84020-9888
Phone
(801) 776-2220
NPI assigned
Mar 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 12941670-1205 UT Primary

Addresses

Primary practice location

723 E 12200 S Ste 200
Draper, UT 84020-9888

Mailing address

2255 N Robins Dr Ste 205
Layton, UT 84041-1181
Phone (801) 776-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822000244 UT Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 2264781004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
University of Washington School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Utah Plastic Surgery LLCGroup PAC ID 3577830017, 3 clinicians

Practice addresses (Care Compare)

2255 N Robins Dr
Layton, UT 84041-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vito C. Quatela, MD PLLC CurrentSince Jun 28, 2021 Accepting new patients
Manning Facial Plastic Surgery Otolaryngology/Facial Plastic Surgery Current Accepting new patients
Ogden Clinic Specialty Services LLC PastSince Aug 8, 2022 Accepting new patients

Locations

973 East Ave
#100
Rochester, NY 14607
Phone (585) 244-1000

973 East Ave
Rochester, NY 14607
Phone (585) 244-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA
  • Direct secure messaging: jmanning@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1255725032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N ROBINS DR STE 205",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411181",
            "telephone_number": "801-776-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E 12200 S STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209888",
            "telephone_number": "801-776-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "UT",
            "license": "12941670-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.