GHASSEM MANGOURI


Address: 355 Riverside Dr, Johnson City, NY 13790-2708
Phone: 6077980706

GHASSEM MANGOURI (NPI# 1134119209) 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) 1134119209
Entity Type Individual
Full Name GHASSEM MANGOURI
Credential M.D.
Practice Address 355 Riverside Dr
Johnson City
NY 13790-2708
Practice Telephone 6077980706
Mailing Telephone 6077980706
Enumeration Date 2005-10-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 154223 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 355 RIVERSIDE DR
City JOHNSON CITY
State NY
Zip Code 13790-2708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144659533 Andrea Lynn Cranage Registered Nurse 355 Riverside Dr, Johnson City, NY 13790-2744 2013-11-06
1104873975 Riverside Surgery & Breastcare Surgery 355 Riverside Dr, Johnson City, NY 13790-2708 2006-05-27
1295725364 Dariush Vaziri Surgery 355 Riverside Dr, Johnson City, NY 13790-2708 2005-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
Find all providers in zip 13790

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790201135 Surgical Services of East Tennessee PC Surgery 300 East Main St., Suite 301, Johnson City, TN 37601 2017-08-17
1235469974 Jeffrey Scott Wiseman Surgery 30 Harrison St Ste 455, Johnson City, NY 13790-2176 2009-12-31
1750301685 Surgical Group of Johnson City, Mpc Surgery 310 N State of Franklin Rd Ste 404, Johnson City, TN 37604-6063 2006-07-21
1184660482 Daniel Brooks Drinnen Surgery 300 E Main St Ste 301, Johnson City, TN 37601-5708 2006-06-22
1508821067 James Bracken Burns Jr. Surgery Dogwood Ave, Bldg #1, Room 2-42, Johnson City, TN 37614 2006-04-19
1801851324 Annamalai Periakaruppan Surgery 180 Harry L Dr, Johnson City, NY 13790-1566 2006-04-18
1588641187 Michael J Hodge Surgery 2333 Knob Creek Rd Ste 16, Johnson City, TN 37604-2007 2005-12-27
1437145687 Paul Thurdekoos Surgery 3 Professional Park Dr, Suite 31, Johnson City, TN 37604-6529 2005-09-23
1700872959 Kenneth E. Cutshall Surgery 3 Professional Park Dr Ste 31, Johnson City, TN 37604-6529 2005-09-23
1154816429 Tamer Dawud Surgery 30 Harrison St Ste 400, Johnson City, NY 13790-2176 2018-06-28
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 13790

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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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