Individual provider Active NPI

Jonathan H Manwaring, DO

  • Family Medicine Physician
  • Morenci, AZ
National Provider Identifier
1386805075
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005114 Issued in AZ
Practice address
401 Burro Aly
Morenci, AZ 85540-9647
Phone
(928) 865-7503
Fax
(928) 865-7571
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila Health Resources 28 clinicians

Practice addresses (Care Compare)

401 Burro Aly
Morenci, AZ 85540-9647
Phone (928) 865-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000198 AZ Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 6507907672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
005114AZMDFamily Medicine Physician
R1016AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Health Resources Family Medicine CurrentSince Jul 25, 2017 Accepting new patients
Trans4Med, PLLC Past Accepting new patients

Locations

401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500

Interoperability endpoints

  • Direct secure messaging: jonathan.manwaring.1@33093.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R1016 AZ
Family Medicine Physician 207Q00000X 005114 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

401 Burro Aly
Morenci, AZ 85540-9647

Mailing address

PO Box 218
Morenci, AZ 85540-0218
Phone (928) 865-7503

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
495312MedicaidAZ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2026.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1386805075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "855400218",
            "telephone_number": "928-865-7503",
            "fax_number": "928-865-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURRO ALY",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "855409647",
            "telephone_number": "928-865-7503",
            "fax_number": "928-865-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANWARING",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R1016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495312",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morenci, AZ

Sources for this page

Verify at the official NPI Registry.