ANTONIO S MANALO (NPI# 1609944313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609944313 |
| Entity Type | Individual |
| Full Name | ANTONIO S MANALO |
| Credential | MD |
| Practice Address |
900 Church St Springfield CO 81073 |
| Mailing Address |
373 E 10th Ave Springfield CO 81073 |
| Practice Telephone | 7195236221 |
| Practice Fax Number | 7195234290 |
| Mailing Telephone | 7195236221 |
| Mailing Fax Number | 7195234290 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21312 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01213123 | 05 |
| Street Address |
900 CHURCH ST |
| City | SPRINGFIELD |
| State | CO |
| Zip Code | 81073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396717013 | Dana Marie Lewis | Family Medicine | 900 Church St, Springfield, CO 81073-1636 | 2006-02-06 |
| 1679105357 | Cynthia Lynn Packard | Dental Hygienist | 900 Church St, Springfield, CO 81073-1636 | 2020-02-10 |
| 1659902898 | Poudre Valley Medical Group, LLC | Internal Medicine | 900 Church St, Springfield, CO 81073-1636 | 2020-01-27 |
| 1659709574 | Ty Shettron | Nurse Practitioner | 900 Church St, Springfield, CO 81073-1636 | 2013-11-01 |
| 1447300959 | Springfield Clinic | Clinic/Center | 900 Church St, Springfield, CO 81073-1662 | 2007-01-10 |
| 1669565677 | Southeast Colorado Hospital District | Clinic/Center | 900 Church St, Springfield, CO 81073-1636 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124031190 | County Commissioners of Baca | Public Health or Welfare | 741 Main Street, Suite #4, Springfield, CO 81073 | 2006-08-14 |
| 1922176643 | Staci Faye Bishop | Physician Assistant | 373 East 10th Avenue, Springfield, CO 81073-0000 | 2006-12-01 |
| 1699253989 | Baca Home Care Agency, Inc | Adult Companion | 681 W 5th Ave, Springfield, CO 81073-1208 | 2018-07-30 |
| 1316107972 | Leeanna Turner | Registered Nurse | 700 Colorado St, Springfield, CO 81073-1425 | 2008-06-16 |
| 1225340060 | Chambrey Ann Johnson | Occupational Therapist | 900 Hill St, Springfield, CO 81073-1435 | 2010-07-09 |
| 1457472086 | Baca County Department of Social Services | Case Manager/Care Coordinator | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-04-02 |
| 1548704729 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2016-12-07 |
| 1740489947 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-07-17 |
| 1922250976 | County Commissioners of Baca | Registered Nurse | 741 Main St, Suite #4, Springfield, CO 81073-1548 | 2008-10-21 |
| 1194191288 | Jessami Caddick | Registered Nurse | 741 Main St, 4, Springfield, CO 81073-1548 | 2015-08-12 |
| Find all providers in zip 81073 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
| 1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
| 1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
| 1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
| 1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
| 1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 81073 |
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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.