JOSE M MANJON (NPI# 1962497628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962497628 |
Entity Type | Individual |
Full Name | JOSE M MANJON |
Credential | MD |
Practice Address |
4300 Londonderry Rd Ste 305 Harrisburg PA 17109-5317 |
Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
Practice Telephone | 7177246788 |
Practice Fax Number | 7177300099 |
Enumeration Date | 2005-09-19 |
Last Update Date | 2018-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | MD035254E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 001057812 | 05 |
Street Address |
4300 LONDONDERRY RD STE 305 |
City | HARRISBURG |
State | PA |
Zip Code | 17109-5317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811407679 | Pinnacle Health Medical Services | Obstetrics & Gynecology | 4300 Londonderry Rd Ste 305, Harrisburg, PA 17109-5317 | 2017-10-06 |
1447676168 | Stacey Michelle Spahr | Nurse Practitioner | 4300 Londonderry Rd Ste 305, Medical Sciences Pavilion, Harrisburg, PA 17109-5317 | 2014-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
Find all providers in zip 17109 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174826457 | William Michael Mccall | Obstetrics & Gynecology | 417 Trudy Rd, Harrisburg, PA 17109-2927 | 2010-12-08 |
1568764181 | Lawrence B. Silver | Obstetrics & Gynecology | 4307 S Victoria Way, Harrisburg, PA 17112-8633 | 2010-12-02 |
1376704700 | Manjon Gynecology PC | Obstetrics & Gynecology | 2416 Green Strreet, Harrisburg, PA 17110 | 2008-06-18 |
1104048487 | Amber C O'leary | Obstetrics & Gynecology | 121 N Nyes Rd Ste C, Harrisburg, PA 17112-3248 | 2007-05-03 |
1912032400 | Michele Alotta | Obstetrics & Gynecology | 8924 St. George's Square, Harrisburg, NC 28075 | 2007-02-23 |
1497719587 | Holly J Thomas | Obstetrics & Gynecology | 2645 N 3rd St Fl 4, Harrisburg, PA 17110 | 2006-04-14 |
1760443196 | Jean M. Hauser | Obstetrics & Gynecology | 409 S 2nd St, Suite 3f, Harrisburg, PA 17104-1612 | 2006-03-28 |
1194703421 | Hanford Ndlovu | Obstetrics & Gynecology | 100 S 2nd St Ste 4a, Harrisburg, PA 17101-2542 | 2006-01-06 |
1124635933 | Mason J Carp Md | Obstetrics & Gynecology | 4212 Linglestown Rd, Harrisburg, PA 17112-1025 | 2020-09-25 |
1821608472 | Laura Evans | Obstetrics & Gynecology | 100 S 2nd St Ste 4a, Harrisburg, PA 17101-2542 | 2020-08-07 |
Find all providers in HARRISBURG |
City | HARRISBURG |
Zip Code | 17109 |
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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.