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

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, MD

Title

President

Phone

(806) 322-1333

Specialties & licenses 1

Addresses

Locations

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
• 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.