MR. MARVIN FANGMAN (NPI# 1245613108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245613108 |
| Entity Type | Individual |
| Full Name | MR. MARVIN FANGMAN |
| Credential | M.A., IAADC |
| Practice Address |
501 North Sherman Prairie City IA 50228 |
| Mailing Address |
15806 Wildwood Drive Clive IA 50325 |
| Practice Telephone | 5159943562 |
| Practice Fax Number | 5159943564 |
| Mailing Telephone | 5153711166 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10167 | IA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 0-24094-1B | VI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
01546 | IA | Behavioral Health & Social Service Providers |
| Street Address |
501 NORTH SHERMAN |
| City | PRAIRIE CITY |
| State | IA |
| Zip Code | 50228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821497538 | Dana Marie Jacobs | Nurse Practitioner | 102 W. Mcmurray Street, Prairie City, IA 50228 | 2014-08-19 |
| 1124015037 | Gregory L. Ingle, D.o., P.c | Family Medicine | 100 E Jefferson St., Prairie City, IA 50228 | 2005-10-05 |
| 1639263247 | Charles G Ingle | Counselor | 100 E. Jefferson, Prairie City, IA 50228 | 2006-10-03 |
| 1952382384 | Heidi Lee Wintermote | Family Medicine | 100 E. Jefferson, Prairie City, IA 50228-0430 | 2005-11-11 |
| 1316934227 | Gregory Lee Ingle | Family Medicine | 100 E. Jefferson St., Prairie City, IA 50228-0430 | 2005-10-05 |
| 1497802979 | Pcm Community School District | Local Education Agency (LEA) | 107 East St., Prairie City, IA 50228-0490 | 2007-01-05 |
| 1003887316 | City of Prairie City | Ambulance | 203 E. Jefferson St., Prairie City, IA 50228-0607 | 2006-01-27 |
| 1245712942 | Pella Regional Health Center | Family Medicine | 100 E Jefferson St, Prairie City, IA 50228-7709 | 2018-08-30 |
| 1417469487 | Jamie L Steenhoek | Nurse Practitioner | 100 E Jefferson St, Prairie City, IA 50228-7709 | 2017-10-31 |
| 1053924449 | Pella Regional Health Center | Clinic/Center | 404 S Commerce, Prairie City, IA 50228-8560 | 2020-08-26 |
| Find all providers in zip 50228 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823339 | Julie Jorstad | Counselor | 505 5th St Ste 700, Sioux City, IA 51101-1509 | 2020-08-26 |
| 1871102319 | Jon P Muller | Counselor | 415 N Niagara St, Maquoketa, IA 52060-2218 | 2020-07-30 |
| 1669081568 | Jennie Ann Mier | Counselor | 900 N 2nd St Ste 2, Cherokee, IA 51012-1373 | 2020-07-27 |
| 1194349118 | Tammy M Holmstrom | Counselor | 1100 Bank St, Webster City, IA 50595-1906 | 2020-06-05 |
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1700418571 | Daniel Ryan Chute | Counselor | 317 7th Ave Se # 203, Cedar Rapids, IA 52401-2007 | 2020-02-10 |
| 1154968535 | Shannon Deann Stewart | Counselor | 813 N Lincoln St Ste 9, Knoxville, IA 50138-1421 | 2019-12-05 |
| 1194361758 | Kelly Jean Saul | Counselor | 250 20th Ave N, Clinton, IA 52732-2503 | 2019-11-19 |
| 1326689530 | Rachel Anne Nauman | Counselor | 3023 Stellar Eagle Dr, Dubuque, IA 52001-8646 | 2019-09-30 |
| 1730734187 | Tiffany E Heth | Counselor | 1555 Se Delaware Ave Ste M, Ankeny, IA 50021-4011 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE CITY |
| Zip Code | 50228 |
Please comment or provide details below to improve the information on MR. MARVIN FANGMAN.
| 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.