Gerald Peter McManama III, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD160341 Issued in OR

Practice address

3154 West 11TH Ave
Eugene, OR 97402

Phone

(541) 988-6200

Fax

(541) 988-6215

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Gerald Peter McManama III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vascular Surgery of St. Louis P.C.

  • Vascular Surgery Physician
  • Saint Louis, MO
  • NPI 1316128846
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1780619601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 WEST 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028381",
            "telephone_number": "541-988-6200",
            "fax_number": "541-988-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 WEST 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97402",
            "telephone_number": "541-988-6200",
            "fax_number": "541-988-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANAMA",
        "first_name": "GERALD",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "R7H29",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD160341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "770000741",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202643524",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500654960",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALD",
            "last_name": "MCMANAMA",
            "middle_name": "PETER",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caity McLean
• John Michael McLean, M.SC., CCC-SLP
• Shannon Rochelle McLean
• Kayla McLeod
• Lindsay McLeod
• Wolfredrick McMichael, CFA
• Daniel McMillan
• Victoria Diane McMillan, LCSW
• Stevie J McMurren, CADC I
• Erin Nicole McNab, RD, LD

• Vascular Surgery Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Vascular Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.