Active NPI
Amanda R. Manning, D.O.
- Pediatrics Physician
- Bloomsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS009091L
- Practice address
- 425 E 1St St
Ste 201
Bloomsburg, PA 17815-1480 - Phone
- (570) 416-1816
- Fax
- (570) 416-1810
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS009091L | PA | Primary |
Addresses
Primary practice location
425 E 1St St
Ste 201
Bloomsburg, PA 17815-1480
Mailing address
100 N Academy Ave
Credentials Dept
Danville, PA 17822-4903
Phone (570) 271-6144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015773300004 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanning59512@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 E 1St St
Bloomsburg, PA 17815-1480
Phone (570) 416-1816
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Pediatrics | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
425 E 1st St
Ste 201
Bloomsburg, PA 17815
Phone (570) 387-2280
425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474
2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320
42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660
4203 Hospital Rd
Coal Township, PA 17866
Phone (570) 486-4588
100 N Academy Ave
Danville, PA 17822
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Pediatrics Physician
- Bloomsburg, PA
- NPI 1891065363
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1821059460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"address_2": "CREDENTIALS DEPT",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E 1ST ST",
"address_2": "STE 201",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178151480",
"telephone_number": "570-416-1816",
"fax_number": "570-416-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "AMANDA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS009091L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015773300004",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanning59512@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "425 E 1st St",
"address_2": "Ste 201",
"city": "Bloomsburg",
"state": "PA",
"country_code": "US",
"postal_code": "178151480",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.