P Praxis·MD
● Active Type 1 · Individual

Jared K. Manwaring, MD

Urology·Idaho Falls, ID· NPI 1235573148 · Enumerated 2013 · 13 years on NPI
Manwaring is 1 of 6 urology providers in Idaho Falls and 1 of 78 in Idaho.
NPI age
13 years
Enumerated 2013-04-22
Primary specialty
Urology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 78 active urology providers in Idaho.

NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
1 state
35% of peers hold multiple states
Subspecialties
0
41% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
2375 Coronado St
Idaho Falls, ID 834047407
📞 2085521234fax 2085291948
Mailing address
2375 Coronado St
Idaho Falls, ID 834047407
📞 2085521234

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    ID license #M-14260 taxonomy 208800000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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