Active NPI
Kim H Manwaring, M.D.
- Neurological Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME115953
- Practice address
- 92 W Miller St
Orlando, FL 32806-2032 - Phone
- (321) 841-2032
- Fax
- (321) 843-3570
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 13310 | AZ | |
| Neurological Surgery Physician | 207T00000X | 21094 | NH | |
| Neurological Surgery Physician | 207T00000X | ME115953 | FL | Primary |
Addresses
Primary practice location
92 W Miller St
Orlando, FL 32806-2032
Mailing address
92 W Miller St
Orlando, FL 32806-2032
Phone (321) 841-2032
Other practice location 1
1222 S Orange Ave
Orlando, FL 32806-1215
Phone (321) 841-3050
Other practice location 2
1 Medical Dr
Lebanon, NH 03756-1000
Phone (603) 650-5109
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251819 | Medicaid | AZ | |
| 009357100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Neurological Surgery | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Neurosurgical Associates, LTD | Neurological Surgery | Past | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607
Interoperability endpoints
- kmanwaring420709@direct.dartmouth-hitchcock.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Neurological Surgery
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Neurological Surgery Physician
- Phoenix, AZ
- NPI 1043202484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1336100460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062032",
"telephone_number": "321-841-2032",
"fax_number": "321-843-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062032",
"telephone_number": "321-841-2032",
"fax_number": "321-843-3570"
}
],
"practiceLocations": [
{
"address_1": "1222 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061215",
"country_code": "US",
"telephone_number": "321-841-3050",
"fax_number": "321-843-3570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANWARING",
"first_name": "KIM",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "13310",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NH",
"license": "21094",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME115953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251819",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009357100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.