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Active NPI 1700880788 Individual Practitioner Male Practitioner

Dr. Teodoro A Manubay , MD

Specialist • Kennett, MO

Professional Overview & Biography Verified Profile Summary

Dr. Teodoro Manubay, MD is a registered healthcare professional specializing in Specialist in Kennett, MO. Practice services are available at 1312 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1312 1st St

Kennett, MO 638572526

Telephone 5738889823
Fax 5738883046
Associated Practice Facility / Clinic
🏢 Semo Drug Of Kennett Facility NPI 1053514356

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Kennett, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Kennett, MO (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO MDR6627

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License AR R3317

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1235132648

Doctor of Medicine (M.D.)

Shannon Sikorski , FNP-BC

Nurse Practitioner - Family

NPI 1275955494

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Specialist (License #MDR6627 in MO)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1312 1ST ST, KENNETT, MO 638572526 (Tel: 5738889823)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1312 1ST ST, KENNETT, MO 638572526 (Tel: 5738889823)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TEODORO MANUBAY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MDR6627 in MO)

🟢
Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700880788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1312 1st St

Kennett, MO 638572526

Phone: 5738889823

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.