Manchester Lakes Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANCHESTER LAKES MEDICAL

Practice address

7015 E Manchester Blvd
Alexandria, VA 22310

Phone

(757) 483-7706

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Annette John

Title

Manager

Phone

(757) 483-7706

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Desimone, M.D.

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1164475448
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1649448093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-658-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 E MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "757-483-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER LAKES MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-483-7706",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebele T Mamo
• Kelley M Manahan, NP
• Anteneh Manahle, PHARM.D
• Karina Mira Manalastas, LPC-R, ATR-P
• Rajana Manandhar
• Lauren Mancinelli, OD
• Rufaat Mando
• Kevin Joseph Maneffa, PA-C
• Kaitlyn Mangan
• Teagan Mangan

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.