Individual provider Active NPI

Fallon Strother McManus, M.D.

  • Family Medicine Physician
  • Youngsville, LA
National Provider Identifier
1457593618
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204192 Issued in LA
Practice address
103 Centre Sarcelle Blvd
Suite 506
Youngsville, LA 70592
Phone
(337) 289-8978
Fax
(337) 289-8977
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204192 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

103 Centre Sarcelle Blvd
Suite 506
Youngsville, LA 70592

Mailing address

103 Centre Sarcelle Blvd
Suite 506
Youngsville, LA 70592
Phone (337) 289-8978

Other identifiers 1

IdentifierTypeStateIssuer
1989673MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120925000068 LA Practitioner - Family Practice 0840448429 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204192LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Family Medicine Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Jan 10, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 18, 2022 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Jun 1, 2015 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jan 1, 2024 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Jun 1, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 18, 2022 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Jan 10, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
University Hospital & Clinics, Inc. Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1122 S Bernard Rd
Ste C
Broussard, LA 70518
Phone (337) 703-6476

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1402 W 8th St
Kaplan, LA 70548
Phone (337) 285-6033

1317 Jefferson St
Lafayette, LA 70501
Phone (337) 261-6000

1100 Bertrand Dr
Lafayette, LA 70506
Phone (337) 261-8500

1211 Coolidge Blvd
Ste 201
Lafayette, LA 70503
Phone (337) 289-7366

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

1514 Jefferson Hwy
New Orleans, LA 70121

1221 S Clearview Pkwy
Bldg A
New Orleans, LA 70121
Phone (504) 842-3510

103 Centre Sarcelle Blvd
Ste 506
Youngsville, LA 70592
Phone (337) 289-8978

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

Interoperability endpoints

  • Direct secure messaging: fmcmanus1099185@direct.ochsner.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1457593618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTRE SARCELLE BLVD",
            "address_2": "SUITE 506",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "70592",
            "telephone_number": "337-289-8978",
            "fax_number": "337-289-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTRE SARCELLE BLVD",
            "address_2": "SUITE 506",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "70592",
            "telephone_number": "337-289-8978",
            "fax_number": "337-289-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "FALLON",
        "middle_name": "STROTHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "204192",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989673",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.