Active NPI
Amanda Manly, MD
- Family Medicine Physician
- Napoleon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4351048699
- Practice address
- 1600 E Riverview Ave
Napoleon, OH 43545-9399 - Phone
- (419) 592-4015
- NPI assigned
- Jun 25, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351048699 | MI | Primary |
Addresses
Primary practice location
1600 E Riverview Ave
Napoleon, OH 43545-9399
Mailing address
2539 Thomas Ave
Berkley, MI 48072-3243
Phone (248) 872-2970
Other practice location 1
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (248) 872-2970
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda.manly@henrycountyhospital.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015
Hospital & facility affiliations
- Henry County Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351048699 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Hospital Inc | Current | Accepting new patients |
Locations
100 Stadium Dr
Ste B
Defiance, OH 43512
Phone (419) 576-5070
1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045
1600 E Riverview Ave
Ste 108
Napoleon, OH 43545
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Napoleon, OH
- NPI 1407880909
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Napoleon, OH
- NPI 1407880909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1417527136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 THOMAS AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480723243",
"telephone_number": "248-872-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E RIVERVIEW AVE",
"city": "NAPOLEON",
"state": "OH",
"postal_code": "435459399",
"telephone_number": "419-592-4015"
}
],
"practiceLocations": [
{
"address_1": "6245 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481354001",
"country_code": "US",
"telephone_number": "248-872-2970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANLY",
"first_name": "AMANDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4351048699",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanda.manly@henrycountyhospital.medicity.net",
"affiliation": "N",
"address_1": "1600 E Riverview Ave",
"city": "Napoleon",
"state": "OH",
"country_code": "US",
"postal_code": "435459399",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Napoleon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.