Active NPI
Mary Clare Maninang-Ocampo, MD
- Pediatrics Physician
- Clearfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD450901
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD450901 | Other | PA | MEDICAL LICENSE |
Other names 1
- Mary Clare Maninang
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookville Hospital | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Brookville Hospital | Current | Accepting new patients | |
| Brookville Hospital | Current | 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
- 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.
-
dba Brookville Physicians
- Multi-Specialty Clinic/Center
- Brookville, PA
- NPI 1578733093
-
dba Penn Highlands Brookville
- Critical Access Hospital
- Brookville, PA
- NPI 1760452924
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1245410554
-
- Pediatrics Physician
- Du Bois, PA
- NPI 1801094222
-
dba Penn Highlands Brookville
- Rural Health Clinic/Center
- Brookville, PA
- NPI 1184333742
-
dba Penn Highlands DuBois
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.