Marc M McManus, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60271784 Issued in WA

Practice address

154 Resolute LN
Port Ludlow, WA 98365-9617

Phone

(253) 388-9748

NPI assigned

Jan 23, 2007

Last updated

Feb 4, 2025By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmcmanus2984192@wm.providencedirect.org

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.

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• Dispatchhealth Advanced Care - Washington PC

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• Mille Lacs Health System

  dba MLHS Community Pharmacy

  • Community/Retail Pharmacy
  • Onamia, MN
  • NPI 1841947801
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1821142043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 RESOLUTE LN",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 RESOLUTE LN",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659617",
            "telephone_number": "253-388-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "MARC",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60271784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Leu, N.D.
• Madrona Hill Urgent Care LLC
• Lauren Corbett Mahan, M.S.
• Timothy Michael Mansour, DPT
• Dana Marklund Tharaldsen, CDPT / AAC
• Willow Odonnell, LMT
• Lloyd Russell Owen Jr.
• Pacific Vascular Incorporated
• Allen Panasuk, OD
• Marjorie L Pederson, DC

• Medical Physician Assistant in Port Ludlow, WA
• Providers in Port Ludlow, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.