MICHELLE MANWARE (NPI# 1366400541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366400541 |
| Entity Type | Individual |
| Full Name | MICHELLE MANWARE |
| Credential | P.A. |
| Practice Address |
118 Long Pond Rd Jordan Hospital Ob-gyn Plymouth MA 02360-2662 |
| Mailing Address |
100 Armstrong Rd Plymouth MA 02360-7219 |
| Practice Telephone | 5088303160 |
| Practice Fax Number | 7813403782 |
| Mailing Telephone | 5038306116 |
| Mailing Fax Number | 5087476308 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1383 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENCE | 1383 | 01 |
| Street Address |
118 LONG POND RD JORDAN HOSPITAL OB-GYN |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962477224 | Maryanne C Bombaugh | Obstetrics & Gynecology | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2006-02-21 |
| 1043825805 | Ann Michelle Connors | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2020-09-09 |
| 1942853015 | Lydia Brejcha | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2019-07-18 |
| 1639645526 | Jocelyn Monti | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-10-17 |
| 1154819837 | Jonathon Blackwell | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-04-27 |
| 1225532948 | Debra Jean Walsh | Massage Therapist | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-03-19 |
| 1306374947 | Edwin Mendez | Marriage & Family Therapist | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2017-05-26 |
| 1730537606 | Amele Pam | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2016-06-01 |
| 1023495710 | Erin Newcomb | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2015-05-01 |
| 1972908853 | Meghan Mccallum | Counselor | 118 Long Pond Rd, Suite 102, Plymouth, MA 02360-2662 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827852 | Lisa Marie Mcmullen | Physician Assistant | 11845 Pine Way Ct, Plymouth, MI 48170-6299 | 2020-06-26 |
| 1427679703 | Maura Jean Walsh Clemons | Physician Assistant | 12015 26th Ave N, Plymouth, MN 55441-2903 | 2020-04-28 |
| 1457912842 | Joseph Andrew Flagg | Physician Assistant | 35 Kirk Cir, Plymouth, MA 02360-2372 | 2019-06-26 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1023585221 | Christopher Rowley | Physician Assistant | 3655 Plymouth Blvd Ste 100, Plymouth, MN 55446-3665 | 2018-10-26 |
| 1407331440 | Mia Catherine Scagliarini | Physician Assistant | 110 Long Pond Rd Ste 212, Plymouth, MA 02360-2642 | 2018-09-25 |
| 1700235868 | Joanna Van Doren | Physician Assistant | 345 Court St Ste 201, Plymouth, MA 02360-4329 | 2016-06-09 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1891081626 | Peter Andrew Shannon | Physician Assistant | 41424 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2011-06-20 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| Find all providers in PLYMOUTH | ||||
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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.