DR. MICHAEL MANAKAS (NPI# 1023015385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023015385 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MANAKAS |
| Credential | DO |
| Practice Address |
2421 Laporte Ave Valparaiso IN 46383-6914 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7241 |
| Practice Telephone | 2194626192 |
| Practice Fax Number | 2194642585 |
| Mailing Telephone | 3175284284 |
| Mailing Fax Number | 3178658355 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02000642 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100434540 | 05 | |
| IN | ANTHEM TRADITIONAL | 000000721918 | 01 |
| Street Address |
2421 LAPORTE AVE |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773110 | Tiffany C Orange | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2019-11-04 |
| 1013434638 | Hallie Orgel | Registered Nurse | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2017-08-24 |
| 1811346307 | Meredith White | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2016-06-06 |
| 1902254733 | Tamara Lynn Kay | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2016-06-02 |
| 1326451030 | Janet Anne Bilder | Family Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2014-06-10 |
| 1285713438 | St Margaret Mercy Healthcare Centers, Inc. | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2006-11-06 |
| 1538152103 | Ruolan Lori Pi | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-29 |
| 1609868207 | Jeffrey Patrick Gatz | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-19 |
| 1972595726 | Eugene Lin | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-18 |
| 1306843685 | Joe Clinkenbeard | Physician Assistant | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710435094 | Mid-america Mental Health LLC | Family Medicine | 402 Wall St., Ste 23, Valparaiso, IN 46383-2567 | 2016-09-15 |
| 1265826887 | Gerald Ronneau | Family Medicine | 92 E 700 N, Valparaiso, IN 46383-8908 | 2015-03-20 |
| 1427477413 | Christopher Michael Osan | Family Medicine | 3800 Saint Mary Rd Ste 205, Valparaiso, IN 46383-3986 | 2014-04-07 |
| 1578790481 | Bernadette A Obmaces | Family Medicine | 3800 St Mary Dr, Suite 204, Valparaiso, IN 46383-7502 | 2009-06-18 |
| 1770748717 | Derek Scott Gasper | Family Medicine | 1101 Glendale Blvd Ste 102a, Valparaiso, IN 46383-3767 | 2008-07-18 |
| 1982806923 | Jeffery Smith | Family Medicine | 2307 La Porte Ave, Suite 4, Valparaiso, IN 46383-7028 | 2007-06-01 |
| 1093937963 | Emerald Coast Family Medicine Inc | Family Medicine | 143 S John Sims Pkwy, Valparaiso, FL 32580-1271 | 2007-05-02 |
| 1770518664 | Sudhakar Garlapati | Family Medicine | 401 Wall St, Valparaiso, IN 46383-2521 | 2006-07-11 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1174562656 | Joel Mark Schumacher | Family Medicine | 1105 Cumberland Xing, Valparaiso, IN 46383-2356 | 2006-06-06 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.