Active NPI
Steven a. Manalan, MD PC
- Specialist
- Fitchburg, MA
National Provider Identifier
1306031570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 37254
- Legal business name
- STEVEN A. MANALAN, MD PC
- Practice address
- 1480 John Fitch Hwy
Fitchburg, MA 01420-2035 - Phone
- (978) 345-0343
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Arthur Manalan, MD
- Title
- President
- Phone
- (978) 345-0343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37254 | MA | Primary |
Addresses
Primary practice location
1480 John Fitch Hwy
Fitchburg, MA 01420-2035
Mailing address
1480 John Fitch Hwy
Fitchburg, MA 01420-2035
Phone (978) 345-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9730168 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1306031570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 JOHN FITCH HWY",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014202035",
"telephone_number": "978-345-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 JOHN FITCH HWY",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014202035",
"telephone_number": "978-345-0343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN A. MANALAN, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "MANALAN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-345-0343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "37254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9730168",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.