JUSTIN MANLEY CCP – NPI #1306475579
Perfusionist

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

Health Care Provider Taxonomy Code for Perfusionist

JUSTIN MANLEY is a perfusionist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1306475579 to JUSTIN MANLEY on April 08, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 242T00000X from the Health Care Provider Taxonomy code set, which is classified as Perfusionist.

The NPI profile was previously updated about 5 years ago on Feb 02, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTIN MANLEY below.

NPI Profile for
JUSTIN MANLEY

NPI Number
1306475579
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUSTIN MANLEY
Credentials
CCP
Primary location
14603 HUEBNER RD STE 28101
SAN ANTONIO, TX 78230-5497
Phone: (210) 614-7074 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 02, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
242T00000X
- Perfusionist (Primary)		 TX PPF02000069

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.