Individual provider Active NPI

Stephen Eugene Manning, DO

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1902396724
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5151011600 Issued in MI
Practice address
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone
(810) 606-5986
NPI assigned
May 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5151011600 MI
Internal Medicine Physician 207R00000X 5151011600 MI Primary

Addresses

Primary practice location

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

Mailing address

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722001157 MI Practitioner - Cardiovascular Disease (Cardiology) 0244574671 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone (269) 381-3963

420 W High St
Dowagiac, MI 49047-1943
Phone (269) 783-3052

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Beacon Plainwell Long-term care hospital, Plainwell, MI, CCN 232034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5151011600MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Jul 21, 2024 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Jul 21, 2024 Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Borgess Hospital CurrentSince Jul 21, 2024 Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Jul 21, 2024 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Jul 21, 2024 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Jul 21, 2024 Accepting new patients
Ascension Borgess Hospital Past Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: smanning950210@direct.hfhs.org

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1902396724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "810-606-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "810-606-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "STEPHEN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5151011600",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151011600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.