MRS. ANGELA K MORAN MANZITTO (NPI# 1447438353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447438353 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA K MORAN MANZITTO |
| Other Name | MISS ANGELA K MORAN |
| Credential | PA |
| Practice Address |
2200 S 40th St Suite 104 Lincoln NE 68506-2425 |
| Mailing Address |
8055 O St Suite 300 Lincoln NE 68510-2564 |
| Practice Telephone | 4024836000 |
| Practice Fax Number | 4024836106 |
| Mailing Telephone | 4024210904 |
| Mailing Fax Number | 4024210946 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2009-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1371 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1371 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 S 40TH ST SUITE 104 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417964222 | Carol A Boelter | Family Medicine | 2200 S 40th St, Ste 104, Lincoln, NE 68506-2407 | 2006-08-02 |
| 1093930133 | Boshra Mohammed Rida | Family Medicine | 2200 S 40th St, Suite 104, Lincoln, NE 68506-2425 | 2007-04-16 |
| 1679623516 | The Physician Network | Durable Medical Equipment & Medical Supplies | 2200 S 40th St, Suite 101, Lincoln, NE 68506-2424 | 2007-01-11 |
| 1679581227 | Susan L Johnson | Family Medicine | 2200 S 40th St, Ste 104, Lincoln, NE 68506-2407 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1033327721 | Cheryl R Flinn | Physician Assistant | 6891 A St, Ste 210, Lincoln, NE 68510-4111 | 2007-05-18 |
| 1073530861 | Stephanie M Maclary | Physician Assistant | 3 Wake Robin Rd, Lincoln, RI 02865-4294 | 2006-07-16 |
| 1447201389 | Douglas Phelps | Physician Assistant | 4210 Pioneer Woods Dr Ste A, Lincoln, NE 68506-7561 | 2006-05-15 |
| 1073573184 | Lynn Colleen Mclaughlin | Physician Assistant | 6900 Van Dorn St, Suite 24, Lincoln, NE 68506-2882 | 2006-03-23 |
| 1922073618 | Jackie M Hinzman | Physician Assistant | 2662 Cornhusker Hwy, Suite 100, Lincoln, NE 68521-1464 | 2006-02-17 |
| 1437136405 | Jill S Rine | Physician Assistant | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2005-12-29 |
| 1407857253 | Joan Marie George | Physician Assistant | 4600 Valley Rd, Siute 200, Lincoln, NE 68510-4855 | 2005-08-02 |
| 1942827415 | Krista Dawn Patefield | Physician Assistant | 8207 Northwoods Dr Ste 100, Lincoln, NE 68505-2093 | 2020-07-01 |
| 1932748910 | Mason Beel | Physician Assistant | 6911 Van Dorn St Ste 1, Lincoln, NE 68506-6801 | 2019-12-23 |
| Find all providers in LINCOLN | ||||
Please comment or provide details below to improve the information on MRS. ANGELA K MORAN MANZITTO.
| 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.