MS. KATHLEEN TAM MCMANUS (NPI# 1962822254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962822254 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN TAM MCMANUS |
| Credential | PA-C |
| Practice Address |
450 Broadway St Redwood City CA 94063-3132 |
| Practice Telephone | 6507255905 |
| Mailing Telephone | 6507255905 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
51445 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
51445 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437425816 | Kathleen Mary Mcmanus | Occupational Therapist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2012-03-29 |
| 1346564846 | Kathleen A. Mcmanus | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2010-03-26 |
| 1821326265 | Kathleen A. Mcmanus | Chiropractor | 133 State St, Guilford, CT 06437-2471 | 2009-11-23 |
| 1851589287 | Kathleen Marie Mcmanus | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2007-10-10 |
| Street Address |
450 BROADWAY ST |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675181 | Sumaira Zareen Aasi | Dermatology | 450 Broadway St, Pavilion B, 4th Floor, Redwood City, CA 94063-3132 | 2005-11-03 |
| 1174137186 | Whitney L Weyhing | Family Medicine | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-09-07 |
| 1659983088 | Iain Robert Murray | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-08-18 |
| 1366062770 | George Bugarinovic | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-04-26 |
| 1629625793 | Dokyoung Sophia You | Psychologist | 450 Broadway St, Redwood City, CA 94063-3132 | 2019-08-22 |
| 1265095350 | Kenneth Miller | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2019-04-15 |
| 1568951838 | Lucy Yichu Liu | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Pavilion C, 2nd Floor - Mc5334, Redwood City, CA 94063-3132 | 2018-05-02 |
| 1477079150 | James Khan | Anesthesiology | 450 Broadway St, Redwood City, CA 94063-3132 | 2017-08-15 |
| 1093248619 | Akaila Cabell | Student in an Organized Health Care Education/Training Program | 450 Broadway St, M/c 6342, Redwood City, CA 94063-3132 | 2017-04-10 |
| 1205369964 | Deepak Chona | Student in an Organized Health Care Education/Training Program | 450 Broadway St, M/c 6342, Redwood City, CA 94063-3132 | 2017-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558385039 | Taemin Surh | Physician Assistant | 2900 Whipple Ave, Suite140, Redwood City, CA 94062-2843 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on MS. KATHLEEN TAM MCMANUS.
| 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.