RONALD EDWARD MANICOM M.D.
NPI 1427042159
Specialist in Austin, TX

Active since September 08, 2005
711 W 38TH ST, D-4, AUSTIN, TX 78705(512) 454-9627(512) 454-6310 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ronald Edward Manicom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD EDWARD MANICOM M.D. (NPI 1427042159) is an individual specialist in Austin, Texas, licensed in Texas (C9055) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1427042159
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRONALD EDWARD MANICOMCredential: M.D.
Location Address711 W 38TH ST, D-4Austin, TX 78705-1121
Mailing Address711 W 38th St, D-4Austin, TX 78705-1121 · (512) 454-9627 · Fax (512) 454-6310
Fax(512) 454-6310
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJanuary 20, 2010
NPI 1427042159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · C9055
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
711 W 38TH ST, Austin, TX 78705

Other Identifiers 3

Medicaid180051801TX
Medicare PIN8F0996TX
Medicare PINC18737TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
711 W 38TH ST, G-3
AUSTIN, TX 78705
Clinical Neuropsychologist
711 W 38TH ST, BLDG. F
AUSTIN, TX 78705
Physical Therapist (Orthopedic)
711 W 38TH ST, BLDG 3
AUSTIN, TX 78705
Clinic/Center (Radiology)
711 W 38TH ST, STE B-7
AUSTIN, TX 78705
Dentist (Oral and Maxillofacial Surgery)
711 W 38TH ST, SUITE A-1
AUSTIN, TX 78705
Physical Therapist
711 W 38TH ST, SUITE C-11
AUSTIN, TX 78705
Dentist (Oral and Maxillofacial Surgery)
711 W 38TH ST, SUITE A-1
AUSTIN, TX 78705
Dietitian, Registered
711 W 38TH ST
AUSTIN, TX 78705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Manicom's NPI number?

The NPI number for Ronald Manicom is 1427042159. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Ronald Manicom located?

Ronald Manicom practices at 711 W 38th St D-4, Austin, TX 78705. The listed phone number is (512) 454-9627.

What is Ronald Manicom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ronald Manicom was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.