Individual provider Active NPI

Joy Alyse Manning Plain, D.O

  • Family Medicine Physician
  • Mustang, OK
National Provider Identifier
1770788358
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4532 Issued in OK
Practice address
201 S Sara Road
Suite 200
Mustang, OK 73064
Phone
(405) 578-3250
Fax
(405) 578-3299
NPI assigned
Jun 15, 2007
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4532 OK Primary
Hospitalist Physician 208M00000X 4532 OK

Addresses

Primary practice location

201 S Sara Road
Suite 200
Mustang, OK 73064

Mailing address

PO Box 268986
Oklahoma City, OK 73126-8986
Phone (405) 231-3857

Other names 1

  • Joy Alyse Manning Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmanningplain36984@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000629 OK Practitioner - Family Practice 0446306617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4532OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
SSM Health Care of Oklahoma, Inc. Family Medicine CurrentSince Dec 10, 2014 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Dec 10, 2014 Accepting new patients
Saints Medical Group, LLC CurrentSince Aug 1, 2012 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

201 S Sara Rd
Ste 200
Mustang, OK 73064
Phone (405) 578-3250

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

Interoperability endpoints

  • Direct secure messaging: jmanningplain36984@direct-ehr-ssmhc.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1770788358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268986",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268986",
            "telephone_number": "405-231-3857",
            "fax_number": "405-272-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S SARA ROAD",
            "address_2": "SUITE 200",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-578-3250",
            "fax_number": "405-578-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING PLAIN",
        "first_name": "JOY",
        "middle_name": "ALYSE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4532",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "4532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmanningplain36984@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jmanningplain36984@direct-ehr-ssmhc.com",
            "address_1": "201 S Sara Road",
            "address_2": "Suite 200",
            "city": "Mustang",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "201 S Sara Road",
            "address_2": "Suite 200",
            "city": "Mustang",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "MANNING",
            "middle_name": "ALYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.