Ferdinand J Manahan MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FERDINAND J MANAHAN MD LLC

Practice address

239 Penn Ave
Scranton, PA 18503-1921

Phone

(570) 346-6170

Fax

(570) 346-2575

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ferdinand J Manahan, MDNPI 1104805126

Title

Sole Proprietor

Phone

(570) 346-6170

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ferdinand J Manahan, MD

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1104805126
  Medicare reassignment NPD Authorized official
• Oscar Y Piczon, MD

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1164401006
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1275855264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031921",
            "telephone_number": "570-346-6170",
            "fax_number": "570-346-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031921",
            "telephone_number": "570-346-6170",
            "fax_number": "570-346-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERDINAND J MANAHAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MANAHAN",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "570-346-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Fedele, DMD
• Mary Shannon Feeney, R.D., LDN
• Natasha Brooke Feidt
• Fellowship House LLC
• Kristen Catherine Fenocchi, M.D.
• Alejandro Fernando, PA-C
• Ralph B Ferraro
• Lidia Castao Fetfatzes
• Lisa R Fetterman, CRNP
• Brittany Alessandra Field, CRNP

• Internal Medicine Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.