TIM MANGOLD (NPI# 1043370315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043370315 |
Entity Type | Individual |
Full Name | TIM MANGOLD |
Credential | PA-C |
Practice Address |
2557 N Dodge St Iowa City IA 52245-9556 |
Practice Telephone | 3193848822 |
Enumeration Date | 2006-12-09 |
Last Update Date | 2015-10-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002420 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2557 N DODGE ST |
City | IOWA CITY |
State | IA |
Zip Code | 52245-9556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134780687 | Larew Internal Medicine Plc | Internal Medicine | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2019-06-25 |
1154868149 | Karen Itzel Hammes | Nurse Practitioner | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2017-01-27 |
1548631435 | Ashley Hunt | Nurse Practitioner | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2015-10-17 |
1821488172 | State University of Iowa | Physician Assistant | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2015-01-26 |
1154760031 | Megan B Glastetter | Nurse Practitioner | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2013-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
Find all providers in zip 52245 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
1649313727 | William Henry Riker | Physician Assistant | 1548 S Gilbert St, Iowa City, IA 52240-4304 | 2007-02-15 |
1215485040 | Tina Conway | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2016-09-21 |
1245784925 | Valerie Ann Hinschberger | Physician Assistant | 200 Hawkins Dr, Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-08-10 |
1679925069 | Courtney Leigh Henn Engel | Physician Assistant | 269 N 1st Ave, Iowa City, IA 52245-3616 | 2016-07-08 |
1588043285 | Eugene Velednitsky | Physician Assistant | 200 Hawkins Dr, University of Iowa Hospitals & Clinics, Iowa City, IA 52242-1009 | 2015-05-27 |
1649678582 | Laura Stulken | Physician Assistant | 200 Hawkins Dr, Dept of Internal Medicine, Infectious Disease Division, Iowa City, IA 52242-1009 | 2014-12-09 |
1346641479 | Lilly Mackenzie Zenor | Physician Assistant | 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2014-09-08 |
1457781148 | Bianca Carlson | Physician Assistant | 200 Hawkins Dr, Department of Internal Medicine: Endocrinology, Iowa City, IA 52242-1009 | 2013-11-18 |
1730432048 | Juan Jose Mendez | Physician Assistant | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2012-10-24 |
Find all providers in IOWA CITY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.