Active NPI
Sharon E Manchester, PA-C
- Medical Physician Assistant
- Silver City, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2008-0059
- Practice address
- 1313 E 32ND St
Silver City, NM 88061-7251 - Phone
- (575) 538-4000
- NPI assigned
- Nov 22, 2008
- Last updated
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2008-0059 | NM | Primary |
Addresses
Primary practice location
1313 E 32ND St
Silver City, NM 88061-7251
Mailing address
1313 E 32ND St
Silver City, NM 88061-7251
Phone (575) 538-4000
Other practice location 1
520 Rose Ln
Wickenburg, AZ 85390-1447
Phone (928) 668-1803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4857 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dilkon Medical Center | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Community Hospital Association, Inc. | Current | Accepting new patients |
Locations
520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
500 Indiana Ave
Winslow, AZ 86047
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wickenburg Community Hospital
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- Emergency Medicine Physician
- Trinidad, CO
- NPI 1295178978
AZ, NM
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Rehabilitation Clinic/Center
- Bagdad, AZ
- NPI 1730445347
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
dba Winslow Indian Health Care Ambulance
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1700031465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 E 32ND ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617251",
"telephone_number": "575-538-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 E 32ND ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617251",
"telephone_number": "575-538-4000"
}
],
"practiceLocations": [
{
"address_1": "520 Rose Ln",
"address_purpose": "LOCATION",
"city": "Wickenburg",
"state": "AZ",
"postal_code": "853901447",
"country_code": "US",
"telephone_number": "928-668-1803",
"fax_number": "928-684-2434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANCHESTER",
"first_name": "SHARON",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-22",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "PA2008-0059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.