Michael S Manderson MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K5614 Issued in TX

Legal business name

MICHAEL S MANDERSON MD PA

Practice address

13 Medical Dr
Amarillo, TX 79106-4121

Phone

(806) 322-1333

NPI assigned

Mar 21, 2007

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael S Manderson, MDNPI 1447212279

Title

President

Phone

(806) 322-1333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael S Manderson, MD

  • Orthopaedic Surgery of the Spine Physician
  • Amarillo, TX
  • NPI 1447212279
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1295851665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064121",
            "telephone_number": "806-322-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064121",
            "telephone_number": "806-322-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S MANDERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MANDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-322-1333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K5614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Christine Meyers, ANP
• Jackely Meza Moreno
• Michael D Williams MD PA
• Michael D. Vennell DC PA (Spine & Sports Wellness Clinic)
• Michael O. Lagrone, M.D., P.a.
• Midtown Medical and Wellness Center
• James Paul Mihlhauser, CRNA
• Milan Patel MD PA
• Jarrod L Milbern, CRT
• Pamela Sue Milbern, R.PH.

• Orthopaedic Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.