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MARK S MANNENBACH M.D.
NPI 1558333294
Pediatrics - Pediatric Emergency Medicine in Rochester, MN

Active since February 06, 2006
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 8, 2020, Jan 19, 2018, Oct 18, 2017 (3 updates tracked since 2017).

About Mark S Mannenbach M.d. NPPES

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

MARK S MANNENBACH M.D. (NPI 1558333294) is an individual pediatric emergency medicine provider in Rochester, Minnesota, licensed in Minnesota (39143) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1558333294
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMARK S MANNENBACHCredential: M.D.
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Phone(507) 284-2511
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJanuary 19, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
✔ NPI 1558333294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MN · 39143
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 39143 (MN)
200 1ST ST SW, Rochester, MN 55905
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Other Identifiers 1

Medicaid209322700MN

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.

EMILY LEASURE MD
Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NATHANAEL BAILEY
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NICOLE S NIPPER NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
BRANDI D'SOUZA NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
DR. JODI M. MOORE-WEISS OD
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JENNIFER L KERKVLIET MA
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
EMMANUEL J LUJERO CRNA
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JUAN PABLO BRITO CAMPANA M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511

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 Mark Mannenbach's NPI number?

The NPI number for Mark Mannenbach is 1558333294. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Mark Mannenbach located?

Mark Mannenbach practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Mark Mannenbach's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

When was this NPI record last updated?

The NPPES record for Mark Mannenbach was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.