MEDICARE: JAMES WARREN MANLEY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS005876L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	080114841	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01210401	OTHER	PA	CAPITAL BLUE CROSS
2	166196	OTHER	PA	INTERCOUNTY
3	0000153700	OTHER	PA	HIGHMARK BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0153700	OTHER	PA	KEYSTONE CENTRAL
6	20592	OTHER	PA	GEISINGER HEALTH PLAN
7	0092995	OTHER	PA	AETNA
9	1082893	OTHER	PA	AMERIHEALTH MERCY

General Provider Information

NPI Number	:	1144271255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WARREN MANLEY DO

Provider Business Mailing Address
First Line	:	1605 N CEDAR CREST BLVD
Second Line	:	SUITE 110B
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-2351
Country	:	US
Telephone Number	:	610-973-1410
Fax Number	:	610-973-1449

Provider Business Practice Location Address
First Line	:	190 BRODHEAD RD
Second Line	:	SUITE 101
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-8617
Country	:	US
Telephone Number	:	610-694-9090
Fax Number	:	484-403-4029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	08/15/2016

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