Scott Ryan Maanum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52825 Issued in MN

Practice address

20600 Firewood TRL
Park Rapids, MN 56470-6242

Phone

(218) 292-9545

Fax

(218) 255-8786

NPI assigned

Jun 25, 2007

Last updated

Apr 24, 2024By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Family Practice

Education

University of North Dakota School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Joseph's Area Health ServicesGroup PAC ID 0345146510, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vivie Home Health Home health agency, Alexandria, MN, CCN 248096
• St Josephs Area Health Services Hospital, Park Rapids, MN, CCN 241380
• Lakewood Health System Hospital, Staples, MN, CCN 241329

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c
• Direct secure messaging: smaanum@grhs.securechart.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Joseph's Area Health Services

  • Critical Access Hospital
  • Park Rapids, MN
  • NPI 1023086055
  Medicare reassignment Care Compare group NPD
• Glacial Ridge Hospital District

  dba Brooten Medical Center

  • Family Medicine Physician
  • Brooten, MN
  • NPI 1255348223
  Medicare reassignment NPD
• Lakewood Health System

  dba Lakewood Clinic Staples

  • Rural Health Clinic/Center
  • Staples, MN
  • NPI 1841280823
  Medicare reassignment NPD
• Glacial Ridge Hospital District

  dba Starbuck Medical Center

  • Rural Health Clinic/Center
  • Starbuck, MN
  • NPI 1063952026
  NPD
• Glacial Ridge Hospital District

  dba Glenwood Family Eye Center

  • Optometrist
  • Glenwood, MN
  • NPI 1306206446
  NPD
• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520
  NPD
• Lakewood Health System

  dba Longbella Drug by Lakewood Health System - Pillager Clinic

  • Community/Retail Pharmacy
  • Pillager, MN
  • NPI 1396519906
  NPD
• St Joseph's Area Health Services

  dba CHI St. Joseph's Health Clinic

  • Clinic/Center
  • Park Rapids, MN
  • NPI 1013460864
  NPD
• Clarke County Public Hospital

  dba Clarke County Clinic

  • Rural Health Clinic/Center
  • Osceola, IA
  • NPI 1851856132

  Family Medicine

  NPD (past)

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

• Knute Nelson

  dba Knute Nelson Home Health

  • Home Health Agency
  • Alexandria, MN
  • NPI 1477676229
  Care Compare affiliation
• Lakewood Health System

  • Critical Access Hospital
  • Staples, MN
  • NPI 1295726362
  Care Compare affiliation
• St. Joseph's Area Health Services

  • Critical Access Hospital
  • Park Rapids, MN
  • NPI 1023086055
  Care Compare affiliation

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1992901086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 FIREWOOD TRL",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564706242",
            "telephone_number": "218-292-9545",
            "fax_number": "218-255-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 FIREWOOD TRL",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564706242",
            "telephone_number": "218-292-9545",
            "fax_number": "218-255-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Pleasant Ave S",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701431",
            "country_code": "US",
            "telephone_number": "218-732-3311",
            "fax_number": "218-732-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAANUM",
        "first_name": "SCOTT",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992901086",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Beth Lindow, PTA
• Zachary Mark Linn, DPT
• Nicolas Lopez Lara
• Amy Luther, RD, LD
• Katie Luther, MA, LPCC
• Paul Mahling
• Jessica Katherine Malinowski, PA-C
• Michelle Malkowski
• Audrey Jean Marjama, FNP
• Timothy Arthur Markgraf, LICSW

• Family Medicine Physician in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.