JASON J MANAFI (NPI# 1518012970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518012970 |
| Entity Type | Individual |
| Full Name | JASON J MANAFI |
| Credential | PA |
| Practice Address |
13635 Michel Rd Tomball TX 77375-6410 |
| Practice Telephone | 2813517261 |
| Practice Fax Number | 2813512515 |
| Mailing Telephone | 2813517261 |
| Mailing Fax Number | 2813512515 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05008 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | PA05008 | 01 |
| Street Address |
13635 MICHEL RD |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831328 | Husam Bahrani | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-06-15 |
| 1144666785 | Micah Bosley | Family Medicine | 13635 Michel Rd, Tomball, TX 77375-6410 | 2013-05-21 |
| 1922350925 | John Mcmonigle | Physician Assistant | 13635 Michel Rd, Tomball, TX 77375-6410 | 2012-10-15 |
| 1497919401 | Johnna Nicole Walker | Physician Assistant | 13635 Michel Rd, Tomball, TX 77375-6410 | 2008-07-18 |
| 1548392954 | Jeffrey Kevin Smith | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2007-03-12 |
| 1316979362 | Michael J Leahy | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2006-07-07 |
| 1295710820 | Stephen D. Simonich | Neuromusculoskeletal Medicine, Sports Medicine | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-12-06 |
| 1891790911 | M Tarek Al-fahl | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-06-15 |
| 1235134362 | Matthew Hammit | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225110232 | Michael Donovan Mchann | Physician Assistant | 425 Holderrieth Blvd Ste 110, Tomball, TX 77375-4551 | 2006-10-19 |
| 1598825424 | Scott David Freeman | Physician Assistant | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.