Provider Demographics
NPI:1295869360
Name:MANNING, DONALD C (MD, PHD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:C
Last Name:MANNING
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 JOHNSTON DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08804-9559
Mailing Address - Country:US
Mailing Address - Phone:908-892-5229
Mailing Address - Fax:973-966-2820
Practice Address - Street 1:545 RAY C HUNT DR
Practice Address - Street 2:UVA PAIN MANAGEMENT
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903
Practice Address - Country:US
Practice Address - Phone:434-924-2283
Practice Address - Fax:434-982-0019
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049588207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005716420Medicaid
VA050001524Medicare ID - Type Unspecified
VAF16425Medicare UPIN