PHYLLIS JOHNNA MANNA (NPI# 1528294667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528294667 |
| Entity Type | Individual |
| Full Name | PHYLLIS JOHNNA MANNA |
| Credential | PA-C |
| Practice Address |
101 Skaggs Rd Suite 302 Branson MO 65616-2075 |
| Practice Telephone | 4173348288 |
| Practice Fax Number | 4173346966 |
| Mailing Telephone | 4173348288 |
| Mailing Fax Number | 4173346966 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2009013387 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 SKAGGS RD SUITE 302 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013996594 | John Henry Moore | Specialist | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2075 | 2006-01-12 |
| 1457749848 | Skaggs Community Hospital Association | Internal Medicine | 101 Skaggs Rd, Ste 103, Branson, MO 65616-2075 | 2015-01-07 |
| 1194015990 | Tanya Dian Bowden | Dietitian, Registered | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2075 | 2011-04-13 |
| 1780838011 | Hospitalist Medicine Physicians of Taney County, LLC | Internal Medicine | 101 Skaggs Rd, Medical Plaza One, Suite 401, Branson, MO 65616-2075 | 2008-11-13 |
| 1255470878 | James J Cesar Do | Clinic/Center | 101 Skaggs Rd, Suite 303, Branson, MO 65616-2075 | 2007-02-06 |
| 1538218169 | Kimberly Rene Martinez | Ophthalmology | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2075 | 2007-01-10 |
| 1053325605 | Cody B Hoeflicker | Internal Medicine | 101 Skaggs Rd, Suite 104, Branson, MO 65616-2075 | 2006-07-28 |
| 1154352417 | John Ray Martinez | Internal Medicine | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2075 | 2006-07-05 |
| 1871522904 | Skaggs Community Hosptial Association | Internal Medicine | 101 Skaggs Rd, Medical Plaza 1 Ste 403, Branson, MO 65616 | 2006-07-01 |
| 1245268051 | Dwight Patrick Zabel | Internal Medicine | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2075 | 2006-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508279381 | Jeremy Berbereia | Physician Assistant | 1150 State Highway 248, #200, Branson, MO 65616-3758 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628528 | Sarah Benson | Physician Assistant | 26791 Andrews Ln, Warrenton, MO 63383-6240 | 2020-04-23 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1992165104 | Cassie Mcgee | Physician Assistant | 1051 Jones St, Kennett, MO 63857-3866 | 2016-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
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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.