Cealus Ruden Manning III

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6763 Page Ave
Saint Louis, MO 63133-1635

Phone

(314) 379-9085

NPI assigned

Jun 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1700562444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6763 PAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331635",
            "telephone_number": "314-379-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6763 PAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331635",
            "telephone_number": "314-379-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "CEALUS",
        "middle_name": "RUDEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arun Reddy Mannem, MD
• Kylie Manner, MA, PLPC
• Audrey Jane Manners
• Philip Mannhard, D.D.S
• Blaine T Manning, MD
• Deborah Manning
• Kevin Dion Manning
• Kimberly Manning, ANP
• Madison Manning
• Peter Bruce Manning, MD

• Peer Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Peer Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.