JOSEPH J MANGRAVITI (NPI# 1205868114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205868114 |
| Entity Type | Individual |
| Full Name | JOSEPH J MANGRAVITI |
| Credential | M.D. |
| Practice Address |
1305 Redmond Cir Nw Building 103 - Clinical Director's Office Rome GA 30165-1345 |
| Practice Telephone | 7062956285 |
| Mailing Telephone | 7062956285 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 23184 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1305 REDMOND CIR NW BUILDING 103 - CLINICAL DIRECTOR'S OFFICE |
| City | ROME |
| State | GA |
| Zip Code | 30165-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654539 | Catherine W Marrs | Registered Nurse | 1305 Redmond Cir Nw, Bldg. 614, Rome, GA 30165-1345 | 2005-07-29 |
| 1205959996 | Nw Ga Regional Hospital | Community/Behavioral Health | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2007-04-09 |
| 1114040805 | Nw Ga Regional Hospital | Clinical Medical Laboratory | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2007-04-09 |
| 1174686620 | Highland Rivers Center, Csb | Community/Behavioral Health | 1305 Redmond Cir Nw, House # 1114, Rome, GA 30165-1345 | 2006-12-18 |
| 1437223914 | Nw Ga Regional Hospital Icf Mr | Intermediate Care Facility, Mentally Retarded | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2006-11-17 |
| 1093749772 | Joseph E Rowland | Dentist | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1841224581 | Satishchandra V Patel | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1902830672 | Susan E Queen | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1801826128 | Thomas W Muller | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-03 |
| 1811927163 | Nicolas Sanchez | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427195759 | Christopher Wade Sellers | General Practice | 1309 Redmond Cir Nw, Rome, GA 30165-1307 | 2007-01-30 |
| 1770076499 | Natalie Olivia Campbell | General Practice | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2018-06-07 |
| 1114410842 | Dyanna Marie Fountain | General Practice | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2018-06-07 |
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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.