Individual provider Active NPI

Michael Charles McManus, MD

  • Urology Physician
  • Green Bay, WI
National Provider Identifier
1609085612
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
62831-20 Issued in WI
Practice address
720 S Van Buren St
Ste 301
Green Bay, WI 54301-3538
Phone
(920) 433-9400
Fax
(920) 433-9409
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 62831-20 WI Primary

Addresses

Primary practice location

720 S Van Buren St
Ste 301
Green Bay, WI 54301-3538

Mailing address

720 S Van Buren St
Ste 301
Green Bay, WI 54301-3538
Phone (920) 433-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141023002008 WI Practitioner - Urology 5991873994 Reassigns benefits to 10 organizations
I20250326001427 KY Practitioner - Urology 5991873994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Colorado School of Medicine, Denver, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

102 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 435-7200

110 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 487-7902

181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316

200 Medical Ctr Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

5000 Ky Route 321
Prestonsburg, KY 41653-9113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62831-20WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 18, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Feb 10, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Urology Associates of Green Bay, S.C. CurrentSince Oct 1, 2014 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Feb 10, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 18, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 18, 2024 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Mar 8, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 18, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 18, 2024 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Mar 8, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 18, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 18, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 18, 2024 Accepting new patients
Wyoming Urology, P.C. Current Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 18, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 18, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 18, 2024 Accepting new patients
Durango Urological Associates PC Past Accepting new patients
Sundance Anesthesia L.L.C. Past Accepting new patients

Locations

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1385 W Main Ave
De Pere, WI 54115

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

720 S Van Buren St
Ste 301
Green Bay, WI 54301
Phone (920) 433-9000

720 S Van Buren St
Green Bay, WI 54301
Phone (920) 430-7100

2720 Cahill Rd
Marinette, WI 54143
Phone (715) 732-3420

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

1320 Bishop Randall Dr
Lander, WY 82520
Phone (307) 332-4420

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

Interoperability endpoints

  • Direct secure messaging: mmcmanus157823@direct.thedacare.org
  • Direct secure messaging: michaelmcmanus@arh.medalliesdirect.net

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1609085612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S VAN BUREN ST",
            "address_2": "STE 301",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013538",
            "telephone_number": "920-433-9400",
            "fax_number": "920-433-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S VAN BUREN ST",
            "address_2": "STE 301",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013538",
            "telephone_number": "920-433-9400",
            "fax_number": "920-433-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "62831-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.