W. J. Manuel, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

06300 Issued in MS

Legal business name

W. J. MANUEL, MD, PA

Practice address

4211 Hospital St
Pascagoula, MS 39581-5320

Phone

(228) 762-5445

Fax

(228) 762-8050

NPI assigned

Jul 9, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wilbert J. Manuel, MD

Title

Owner/Practitioner

Phone

(228) 762-5445

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1841453883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815320",
            "telephone_number": "228-762-5445",
            "fax_number": "228-762-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815320",
            "telephone_number": "228-762-5445",
            "fax_number": "228-762-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. J. MANUEL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "228-762-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "06300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim M. Tumminello, APRN
• David W. Turner, D.C.
• Charles C Venus Jr.
• Magdalyn May Vickers
• Vitality Personal Wellness LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1066)
• Wal-Mart Stores East, LP (Vision Center 30-1066)
• Walgreen Co (Walgreens #05653)
• Walker Chiropractic Center, PLLC
• Markeisha Latece Walker

• Specialist in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.