Clyde Vernon Manning, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14418 Issued in MS

Practice address

43025 Brookton Way
Ashburn, VA 20147-7414

Phone

(703) 577-9017

NPI assigned

May 5, 2008

Last updated

May 5, 2008By 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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1902072382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43025 BROOKTON WAY",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477414",
            "telephone_number": "703-577-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43025 BROOKTON WAY",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477414",
            "telephone_number": "703-577-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "CLYDE",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabil Fekry Malati, MD
• Tarshay Janise Malloy
• Thomas John Mancini, MD
• Gabriela A Mandolesi, MD
• Maya Mann
• Lucia Z. Manoukian, CMT
• Zachary Taylor Manthe, DC
• Stanley Dimitriou Maoury III
• Maragh Dermatology, PLLC
• Marlon R Maragh, MD

• Internal Medicine Physician in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.