Provider Demographics
NPI:1790715118
Name:MANNING, CATHY JENSEN (DO)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:JENSEN
Last Name:MANNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-845-8623
Mailing Address - Fax:717-843-6682
Practice Address - Street 1:924 COLONIAL AVE STE B
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3450
Practice Address - Country:US
Practice Address - Phone:717-845-8623
Practice Address - Fax:717-843-6682
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05006495L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA233268OtherMAMSI-WMG
PAP002895OtherGATEWAY-WMG
PA0555121000OtherAMERIHEALTH 65 PA
PA30085OtherJOHNS HOPKINS
MD543244OtherCAREFIRST MD BCBS
PA01094802OtherCAPITAL BLUE CROSS-WMG
PA20016284OtherAMERIHEALTH MERCY-WMG
PA001295055Medicaid
PA34504OtherGEISINGER
PA718208OtherHIGHMARK BLUE SHIELD
PA5832074OtherAETNA
PA80790OtherUNISON-WMG
PA001295055Medicaid
PAP002895OtherGATEWAY-WMG
PAF23025Medicare UPIN