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

Mr. Oswaldo Giovanni Tagle Manrique, PA-C

Individual provider Medical Physician Assistant · NPI 1063057040

Mr. Oswaldo Giovanni Tagle Manrique, PA-C is a Physician Assistant in Allentown, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 2013, 13 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1575 Pond Rd Ste 203
Allentown, PA 18104-2254
Phone: (610) 366-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2200 Hamilton St Ste 111, Allentown, PA 18104-6329 — (610) 821-8321
  • 1200 Mokychic Road, Collegeville, PA 19426 — (610) 409-7890

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA061118 (PA)

Record details

NPI number1063057040
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2019
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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