John F Manfredonia, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1634 Issued in AZ

Practice address

7605 W. Ina Road
Tucson, AZ 85743

Phone

(520) 730-6516

Fax

(520) 514-2828

NPI assigned

Nov 28, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1871669077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 W. INA ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85743",
            "telephone_number": "520-730-6516",
            "fax_number": "520-514-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 W. INA ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85743",
            "telephone_number": "520-730-6516",
            "fax_number": "520-514-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDONIA",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard M Mandel, MD
• Mansi Mandhani
• Michelle Mandracchia
• Jose Antonio Manent III, DPM
• Kerry Jean Maner, LMSW
• Monica Mangan, R.N.
• Jules P Manger, M.D.
• Aida Mani, PHARMD
• Manifest Joy Life Guidance, PLLC (Manifest Joy Counseling)
• Vanessa Mary Manion

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.