KENNETH RUSSELL MANNING (NPI# 1003870171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003870171 |
| Entity Type | Individual |
| Full Name | KENNETH RUSSELL MANNING |
| Credential | M.D. |
| Practice Address |
1638 Owen Dr Fayetteville NC 28304-3424 |
| Mailing Address |
Po Box 42935 Fayetteville NC 28309-2935 |
| Practice Telephone | 9106096910 |
| Practice Fax Number | 9106095219 |
| Mailing Telephone | 9106096910 |
| Mailing Fax Number | 9106095219 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
32779 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891297E | 05 | |
| NC | BCBS | 1297E | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619111408 | Kenneth Lawrence Manning | Pharmacist | 262 N Highway 65, Lindsay, CA 93247-2702 | 2009-04-24 |
| 1598966251 | Kenneth Paul Manning | Dentist | 1401 N Bridge St, Washington, NC 27889-3536 | 2007-05-30 |
| 1497956346 | Kenneth David Manning | Psychologist | 112 Powers Rd, Sudbury, MA 01776-1028 | 2007-05-29 |
| 1215106281 | Kenneth Paul Manning II | Dentist | 2403 Charles Blvd, Greenville, NC 27858-5925 | 2008-02-25 |
| 1750484846 | Kenneth David Manning | Optometrist | 3849 S Delsea Dr, C/o Sears Optical, Vineland, NJ 08360-7408 | 2006-09-06 |
| Street Address |
1638 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091851 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| 1265032536 | Heidi Ellen Jumbercotta | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-27 |
| 1346848306 | Jessica Hooten | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-13 |
| 1881200665 | Kathleen Macalalag | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-09-17 |
| 1790395523 | Anna Caitlyn Felmer | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-06 |
| 1427668359 | Benjamin Josiah Tutterow | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1063022994 | George Thomas Sessoms IIi | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1437769759 | Teresa Cooper Jones | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-01 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1194333237 | Alyssa Worley | Occupational Therapy Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073740296 | Cumberland County Hospital Systems, Inc. | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2009-06-15 |
| 1528022126 | Hematology & Oncology Associates of Fayetteville, P.a. | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-04-12 |
| 1710941430 | Kamal Manubhai Bakri | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916771 | American Oncology Partners, Pa | Internal Medicine | 10 One Center Ct, Franklin, NC 28734-0095 | 2020-03-10 |
| 1215570890 | American Oncology Partners, P.a. | Internal Medicine | 1860 Sugar Hill Rd Ste A, Marion, NC 28752-5565 | 2019-10-25 |
| 1730658808 | Laura Kolker Max | Internal Medicine | 2301 Erwin Road Unit 9300, Durham, NC 27710-2621 | 2018-11-19 |
| 1396249256 | Deanna Andrews Griffie | Internal Medicine | 20 Medicine Circle Duke Cancer Center Clinic 3-2, Durham, NC 27710-0001 | 2018-03-23 |
| 1558885004 | Casey Marie Mozingo | Internal Medicine | 20 Duke Medicine Circle Duke Cancer, Durham, NC 27710-0001 | 2017-07-26 |
| 1710430822 | Angel Medical Center, Inc. | Internal Medicine | 834 Depot St, Franklin, NC 28734-0176 | 2016-07-26 |
| 1174942262 | Kristen Leigh Perez | Internal Medicine | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 | 2014-04-16 |
| 1851739239 | Jingquan Jia | Internal Medicine | 20 Duke Medicine Drive, Durham, NC 27710 | 2013-06-07 |
| 1215279617 | Jacob Eli Berchuck | Internal Medicine | 226 Chesley Ln, Chapel Hill, NC 27514-1461 | 2013-03-23 |
| 1861759391 | Wayne Dewitt Brenckman Jr. | Internal Medicine | 5632 Denwood Ln, Durham, NC 27705-9252 | 2012-04-22 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.