DR. KAREN DIANE MANESS (NPI# 1982692448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982692448 |
| Entity Type | Individual |
| Full Name | DR. KAREN DIANE MANESS |
| Credential | M.D. |
| Practice Address |
1700 University Dr E College Station TX 77840-2661 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9796913300 |
| Practice Fax Number | 9796913527 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J2180 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | J2180 | 01 |
| TX | MEDICARE GROUP ID | 00549W | 01 |
| Street Address |
1700 UNIVERSITY DR E |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273171 | Meghan Ashley Martin | Registered Nurse | 1700 University Dr E, College Station, TX 77840-2661 | 2020-07-29 |
| 1730611807 | Elaine Lanphere | Pediatrics | 1700 University Dr E, College Station, TX 77840-2661 | 2017-03-29 |
| 1912455460 | William Gerald Gaines Jr. | Internal Medicine | 1700 University Dr E, College Station, TX 77840-2661 | 2016-09-13 |
| 1144673104 | Sandra Soenning | Psychologist | 1700 University Dr E, College Station, TX 77840-2661 | 2016-07-14 |
| 1699147181 | Deena Kothmann | Nurse Practitioner | 1700 University Dr E, College Station, TX 77840-2661 | 2015-10-23 |
| 1679953749 | Stephanie Dewsnap | Family Medicine | 1700 University Dr E, College Station, TX 77840 | 2015-06-04 |
| 1215315064 | Morgan Hines | Family Medicine | 1700 University Dr E, College Station, TX 77840 | 2015-05-13 |
| 1912390642 | Jamyl Walker | Nurse Practitioner | 1700 University Dr E, College Station, TX 77840-2661 | 2015-03-04 |
| 1578954327 | Shafia Naeem | Physician Assistant | 1700 University Dr E, College Station, TX 77840-2661 | 2015-02-16 |
| 1093126302 | Brian Zachariah | Psychiatry & Neurology | 1700 University Dr E, College Station, TX 77840-2661 | 2014-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| 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 |
|---|---|---|---|---|
| 1013362573 | Laura Muehr | Family Medicine | 1700 University Dr E Ste 100, College Station, TX 77840-2661 | 2016-05-03 |
| 1235521121 | Texas A&m University | Family Medicine | 161 Wellborn Roard, Bright Complex, College Station, TX 77843-0001 | 2015-03-02 |
| 1558628149 | Thomas B Campbell | Family Medicine | 4007 Victoria Ave, College Station, TX 77845-4795 | 2012-04-19 |
| 1619257995 | Asritha Srireddy | Family Medicine | 4202 Conway Ct, College Station, TX 77845-4305 | 2011-08-18 |
| 1902050230 | Catherine Locke | Family Medicine | 4401 State Highway 6 S, College Station, TX 77845-4428 | 2008-11-13 |
| 1316127749 | Clint Chi Cheng | Family Medicine | 4007 Victoria Ave., College Station, TX 77845 | 2007-11-14 |
| 1902966443 | Latha M. Ravichandran | Family Medicine | 1602 Rock Prairie Rd Ste 230, College Station, TX 77845-8307 | 2006-12-12 |
| 1184705741 | Russell Bryan Bacak | Family Medicine | 2911 Texas Ave S Ste 202, College Station, TX 77845-5388 | 2006-10-18 |
| 1689755266 | Bcs Abundant Life Family Practice | Family Medicine | 2803 Earl Rudder Freeway South, Suite 201, College Station, TX 77845 | 2006-10-18 |
| 1013007939 | Bo Xuan | Family Medicine | A P Beutel Health Center, Texas A&m University, College Station, TX 77843-1264 | 2006-10-13 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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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.