Dr. Ronald Edward Manicom , MD
Specialist • Austin, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Manicom has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ronald Manicom, MD was a registered Specialist practicing in Austin, TX. Throughout an active medical career spanning 1 years, Dr. Manicom provided care at the practice location at 711 W 38TH ST until profile deactivation on 2006-03-25.
Practice Location & Contact Primary Location
711 W 38th St
D-4
Austin, TX 787051121
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Austin, TX
Practicing in Austin, TX (2033 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
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.
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Practice Associates & Co-Workers
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Neurological Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 711 W 38TH ST, D-4, AUSTIN, TX 787051121 (Tel: 5124549627)
Registered at 711 W 38TH ST, D-4, AUSTIN, TX 787051121 (Tel: 5124549627)
Recorded as RONALD MANICOM, M.D.
Specialist (License #C9055 in TX)
Record officially reactivated for active practice on March 31, 2006
Record deactivated on March 25, 2006
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
711 W 38th St, D-4
Austin, TX 787051121
Phone: 5124549627
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