Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578548475 Individual Practitioner Male Practitioner

Dr. Joey M Manduano , DO

Surgery - Plastic and Reconstructive Surgery • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Dr. Joey Manduano, DO is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Tulsa, OK. Practice services are available at 2219 E 21ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2219 E 21st St

Tulsa, OK 741141411

Telephone 9187495522
Fax 9187475522

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Tulsa, OK (26 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

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OK 1628

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Of Oklahoma
731047122001 (OK)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Thad Hammond

Case Manager/Care Coordinator

NPI 1548845126

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2219 E 21ST ST, TULSA, OK 741141411 (Tel: 9187495522)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2219 E 21ST ST, TULSA, OK 741141411 (Tel: 9187495522)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOEY MANDUANO, D.O.

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

Surgery (License #1628 in OK)

🟢
Initial NPI Registration & Enumeration December 13, 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: 1578548475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2005
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2219 E 21st St

Tulsa, OK 741141411

Phone: 9187495522

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.