Physician Compare National (NPI:1437124963)

HEALTHCARE PROVIDER: CHRISTOPHER K MANNING M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1437124963
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284716895
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080204000573
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANNING
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1131 W ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	SOUTHINGTON
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	064896006
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BRISTOL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070036
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JOHN DEMPSEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	070035
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	THE HOSPITAL OF CENTRAL CONNECTICUT
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y