Active NPI
Jotham Charles Manwaring, MD
- Neurological Surgery Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 9363155-1205
- Practice address
- 652 S Medical Center Dr Ste 420
St George, UT 84790-7049 - Phone
- (435) 251-6800
- NPI assigned
- Nov 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurological Surgery Physician | 207T00000X | 9363155-1205 | UT | Primary |
Addresses
Primary practice location
652 S Medical Center Dr Ste 420
St George, UT 84790-7049
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 251-6800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jotham.manwaring@direct.imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Utah School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
652 S Medical Ctr Dr
Suite 320
St George, UT 84790-7266
Phone (435) 251-3950
Hospital & facility affiliations
- Zion'S Way Home Health
- Dixie Home Rehab
- St. George Regional Hospital
- Intermountain Health Cedar City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 198 |
| Laminectomy or laminotomy (partial removal of spine bones) | 94 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9363155-1205 | UT | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Neurological Surgery | Current | Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
652 S Medical Center Dr
Ste 420
St George, UT 84790
Phone (435) 251-3700
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
652 S Medical Center Dr
Ste 320
St George, UT 84790
Phone (435) 251-3950
652 S Medical Center Dr
St George, UT 84790
Phone (435) 251-2250
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Neurological Surgery Physician
- St George, UT
- NPI 1649413303
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- St George, UT
- NPI 1982772109
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
-
- Home Health Agency
- St George, UT
- NPI 1588930705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1679728133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "435-251-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 S MEDICAL CENTER DR STE 420",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907049",
"telephone_number": "435-251-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANWARING",
"first_name": "JOTHAM",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-25",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "UT",
"license": "9363155-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jotham.manwaring@direct.imail.org",
"affiliation": "N",
"address_1": "652 S Medical Center Dr Ste 420",
"city": "St George",
"state": "UT",
"country_code": "US",
"postal_code": "847907049",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.