Individual provider Active NPI

Donald Frederick Manger, M.D.

  • Family Medicine Physician
  • Cumberland, MD
National Provider Identifier
1740317890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D009231 Issued in MD
Practice address
11600 Bedford Rd NE
Cumberland, MD 21502-6805
Phone
(301) 777-9631
Fax
(301) 777-8134
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D009231 MD Primary

Addresses

Primary practice location

11600 Bedford Rd NE
Cumberland, MD 21502-6805

Mailing address

11600 Bedford Rd NE
Cumberland, MD 21502-6805
Phone (301) 777-9631

Other identifiers 3

IdentifierTypeStateIssuer
814331OtherMAMSI
256471OtherUHC
W034-0001OtherMDBCBS BLUE CHOICE FED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D009231MDMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740317890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 BEDFORD RD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026805",
            "telephone_number": "301-777-9631",
            "fax_number": "301-777-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 BEDFORD RD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026805",
            "telephone_number": "301-777-9631",
            "fax_number": "301-777-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGER",
        "first_name": "DONALD",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D009231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "814331",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "256471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CHOICE FED",
            "identifier": "W034-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.