Active NPI
Emmanuel S Manuel MD SC
- Urology Physician
- Milwaukee, WI
National Provider Identifier
1578635801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- EMMANUEL S MANUEL MD SC
- Practice address
- 3201 S 16TH St
Suite 1015
Milwaukee, WI 53215 - Phone
- (414) 643-4300
- Fax
- (414) 384-4332
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel S Manuel, MD
- Title
- Physician Owner
- Phone
- (414) 643-4300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
3201 S 16TH St
Suite 1015
Milwaukee, WI 53215
Mailing address
3201 S 16TH St
Suite 1015
Milwaukee, WI 53215
Phone (414) 643-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30299800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
3201 S 16th St
Ste 1015
Milwaukee, WI 53215
Phone (414) 383-1903
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Milwaukee, WI
- NPI 1962400234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1578635801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 S 16TH ST",
"address_2": "SUITE 1015",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53215",
"telephone_number": "414-643-4300",
"fax_number": "414-384-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S 16TH ST",
"address_2": "SUITE 1015",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53215",
"telephone_number": "414-643-4300",
"fax_number": "414-384-4332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMANUEL S MANUEL MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2007-10-15",
"status": "A",
"authorized_official_last_name": "MANUEL",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "414-643-4300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30299800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.