Deborah A Manuel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50-000542 Issued in OH

Practice address

7590 Auburn Rd
Concord TWP, OH 44077-9176

Phone

(440) 375-8100

NPI assigned

Feb 21, 2011

Sex

Female

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

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• New Manna CLG, LLC

  • General Acute Care Hospital
  • Beachwood, OH
  • NPI 1972149268

  Physician Assistant

  Medicare reassignment NPD
• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996
  Medicare reassignment
• Lake Hospital System Inc

  • Family Medicine Physician
  • Mentor, OH
  • NPI 1366484818
  NPD
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Madison, OH
  • NPI 1134189376
  NPD (past)

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1861799264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715507",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432710001",
            "telephone_number": "440-375-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 AUBURN RD",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-375-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-000542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arminda L Lumapas, M.D.
• Kendra Lea Mahaffey, O.D.
• Diane K Mahoney, PH.D.
• Jill Maiorca, LISW
• Liezl Malibiran, CNP
• John Mathews II, FNP-C
• Draga Matic
• May Azem MD Inc
• Kelly McCloskey
• Shannon N McKeen, DO

• Physician Assistant in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.