Organization Active NPI

Manus Center, PC

  • Specialist
  • Vienna, VA
National Provider Identifier
1649393513
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0021522872 Issued in VA
Legal business name
MANUS CENTER, PC
Practice address
415 Church St NE
Suite 101
Vienna, VA 22180-4742
Phone
(703) 242-6363
Fax
(703) 242-6368
NPI assigned
Apr 7, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Ms. Linda S. Shuler
Title
Business Manager
Phone
(703) 242-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0021522872 VA Primary

Addresses

Primary practice location

415 Church St NE
Suite 101
Vienna, VA 22180-4742

Mailing address

415 Church St NE
Suite 101
Vienna, VA 22180-4742
Phone (703) 242-6363

National Provider Directory

National Provider Directory

Locations

415 Church St NE
#102
Vienna, VA 22180
Phone (703) 242-6363

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1649393513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CHURCH ST NE",
            "address_2": "SUITE 101",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804742",
            "telephone_number": "703-242-6363",
            "fax_number": "703-242-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHURCH ST NE",
            "address_2": "SUITE 101",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804742",
            "telephone_number": "703-242-6363",
            "fax_number": "703-242-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "703-242-6363",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0021522872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.