Provider Demographics
NPI:1770788358
Name:MANNING PLAIN, JOY ALYSE (DO)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ALYSE
Last Name:MANNING PLAIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ALYSE
Other - Last Name:MANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 268986
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8986
Mailing Address - Country:US
Mailing Address - Phone:405-231-3857
Mailing Address - Fax:405-272-7977
Practice Address - Street 1:201 S SARA ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064
Practice Address - Country:US
Practice Address - Phone:405-578-3250
Practice Address - Fax:405-578-3299
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4532208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist