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RONALD E. MANICOM, MD, PA
NPI 1891820106
Specialist in Lakeway, TX

Active since February 23, 2007
1200 LAKEWAY DR, SUITE 8, LAKEWAY, TX 78734(512) 248-9000(512) 248-9012 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ronald E. Manicom, Md, Pa NPPES

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

RONALD E. MANICOM, MD, PA (NPI 1891820106) is a healthcare organization registered as a specialist in Lakeway, Texas and active in the NPI registry since February 2007. The organization lists Angela Fouss, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891820106
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRONALD E. MANICOM, MD, PA
Location Address1200 LAKEWAY DR, SUITE 8Lakeway, TX 78734-4474
Mailing Address1200 Lakeway Dr, Suite 8Lakeway, TX 78734-4474 · (512) 248-9000 · Fax (512) 248-9012
Phone(512) 248-9000
Fax(512) 248-9012
Organization SubpartNo
Authorized OfficialAngela FoussOffice Manager · (512) 248-9000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateNovember 20, 2007
✔ NPI 1891820106 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.
1200 LAKEWAY DR, Lakeway, TX 78734
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Other Identifiers 2

Medicare UPINC18737TX
Medicare PIN00392ZTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. DONNA L OSBORN D.D.S.
Dentist (General Practice)
1200 LAKEWAY DR, SUITE 18A
LAKEWAY, TX 78734
Travis County (512) 261-5522
FIRE OF LIFE CHIROPRACTIC PLLC
Chiropractor
1200 LAKEWAY DR, 17B
LAKEWAY, TX 78734
Travis County (512) 608-9121
DR. ROBERT V ROBINSON D.D.S
Dentist (General Practice)
1200 LAKEWAY DR, SUITE 18A
LAKEWAY, TX 78734
Travis County (512) 261-5522
JILL ALEXANDRA DORLER P.T.
Physical Therapist (Orthopedic)
1200 LAKEWAY DR, STE 13
LAKEWAY, TX 78734
Travis County (310) 617-8788

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 E. Manicom, MD, PA's NPI number?

The NPI number for Ronald E. Manicom, MD, PA is 1891820106. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Ronald E. Manicom, MD, PA located?

Ronald E. Manicom, MD, PA is located at 1200 Lakeway Dr Suite 8, Lakeway, TX 78734. The listed phone number is (512) 248-9000.

What is Ronald E. Manicom, MD, PA'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 E. Manicom, MD, PA was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.