Donald Earl Maner Sr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003632 Issued in GA

Practice address

Ec3326 Laney Walker Blvd
Medical College of Georgia
Augusta, GA 30912

Phone

(706) 721-4425

Fax

(706) 721-3990

NPI assigned

Dec 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1447589379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 LANEY WALKER BLVD",
            "address_2": "AF-1040, PAVILLION II",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "706-721-3448",
            "fax_number": "706-721-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EC3326 LANEY WALKER BLVD",
            "address_2": "MEDICAL COLLEGE OF GEORGIA",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30912",
            "telephone_number": "706-721-4425",
            "fax_number": "706-721-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANER",
        "first_name": "DONALD",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LISC.",
            "identifier": "RPH011404",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annamma T. Mammen, MD
• Lawrence B. Manalo, M.D.
• Elizabeth J. Manaloor, MD
• Mahendra K. Mandawat, MD
• Brittany Maner, MD
• Marien Mangrobang
• Maninder Marlina Manhiani, DMD, PHD
• Bettadapura R Manjunath, M.D.
• Paul Christopher Mann, MD
• Shaynna Marie Mann, M.D.

• Medical Physician Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.