Individual provider Active NPI

Mary Clare Maninang-Ocampo, MD

  • Pediatrics Physician
  • Clearfield, PA
National Provider Identifier
1417224841
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD450901 Issued in PA
Practice address
1033 Turnpike Ave Ste 200
Clearfield, PA 16830-3061
Phone
(814) 768-7618
Fax
(814) 768-7508
NPI assigned
Nov 30, 2011
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD450901 PA Primary

Addresses

Primary practice location

1033 Turnpike Ave Ste 200
Clearfield, PA 16830-3061

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other practice location 1

123 Hospital Avenue
DuBois, PA 15801-1580
Phone (814) 371-1510

Other identifiers 1

IdentifierTypeStateIssuer
MD450901OtherPAMEDICAL LICENSE

Other names 1

  • Mary Clare Maninang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140728001228 PA Practitioner - Pediatric Medicine 6709002751 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital CurrentSince Nov 18, 2015 Accepting new patients
Dubois Regional Medical Center CurrentSince Nov 19, 2019 Accepting new patients
Brookville Hospital CurrentSince Nov 18, 2015 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

621 S Main St
#Q
Dubois, PA 15801
Phone (814) 299-7520

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

Interoperability endpoints

  • Direct secure messaging: mcmaninangocampo@1285.direct.myezyaccess.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1417224841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 TURNPIKE AVE STE 200",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303061",
            "telephone_number": "814-768-7618",
            "fax_number": "814-768-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hospital Avenue",
            "address_purpose": "LOCATION",
            "city": "DuBois",
            "state": "PA",
            "postal_code": "158011580",
            "country_code": "US",
            "telephone_number": "814-371-1510",
            "fax_number": "814-371-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANINANG-OCAMPO",
        "first_name": "MARY",
        "middle_name": "CLARE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD450901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD450901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MANINANG",
            "middle_name": "CLARE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.