DR. JOEY M MANDUANO D.O.
NPI 1578548475
Surgery - Plastic and Reconstructive Surgery in Tulsa, OK

Q: What is Joey Manduano's NPI number?

The NPI number for Joey Manduano is 1578548475. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Joey Manduano's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Joey Manduano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 13, 2005

2219 E 21ST ST, TULSA, OK 74114(918) 749-5522(918) 747-5522 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Joey M Manduano D.o. NPPES

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

DR. JOEY M MANDUANO D.O. (NPI 1578548475) is an individual plastic and reconstructive surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (1628) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1578548475

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. JOEY M MANDUANOCredential: D.O.

Location Address2219 E 21ST STTulsa, OK 74114-1411

Mailing Address2219 E 21st StTulsa, OK 74114-1411 · (918) 749-5522 · Fax (918) 747-5522

Phone(918) 749-5522

Fax(918) 747-5522

Sole ProprietorYes

Enumeration DateDecember 13, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578548475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in OK · 1628

Definition

A surgeon who specializes in plastic and reconstructive surgery.

2219 E 21ST ST, Tulsa, OK 74114

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Other Identifiers 2

Other731047122001OK · Bcbs Of Oklahoma

Medicare UPINE11370

Other Providers at the Same Location NPPES

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

THAD HAMMOND

Case Manager/Care Coordinator

2219 E 21ST ST
TULSA, OK 74114

Tulsa County (918) 720-7448

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 Joey Manduano's NPI number?

The NPI number for Joey Manduano is 1578548475. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Joey Manduano located?

Joey Manduano practices at 2219 E 21st St, Tulsa, OK 74114. The listed phone number is (918) 749-5522.

What is Joey Manduano's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Joey Manduano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.