Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Lyle Manzer, MD

Individual provider Family Medicine Physician · NPI 1407848971

Jonathan Lyle Manzer, MD is a Family Practice in Carthage, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2004, 22 years ago. Practices with McPherson Medical and Diagnostic LLC, a 85-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
22
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3071 S Grand Ave
Carthage, MO 64836-7851
Phone: (417) 358-4811
Fax: (417) 358-4781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2004001464 (MO)

Record details

NPI number1407848971
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 19, 2005
Last updated in NPPESSeptember 16, 2013
Mailing address3071 S Grand Ave, Carthage, MO 64836-7851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2004 (22 years in practice)
Group practice McPherson Medical And Diagnostic Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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