TIM MANGOLD


Address: 2557 N Dodge St, Iowa City, IA 52245-9556
Phone: 3193848822

TIM MANGOLD (NPI# 1043370315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
002420 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2557 N DODGE ST
City IOWA CITY
State IA
Zip Code 52245-9556

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City IOWA CITY
Zip Code 52245

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Dataset Information

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.

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