CHARLES EDMUND MANGAN SR. (NPI# 1356348056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356348056 |
| Entity Type | Individual |
| Full Name | CHARLES EDMUND MANGAN SR. |
| Credential | MD |
| Practice Address |
233 S 6th St Apt 2406 233 S 6th St Philadelphia PA 19106-3757 |
| Practice Telephone | 2156805341 |
| Mailing Telephone | 2156805341 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD009834E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144365446 | Charles Steven Mangan IIi | Dentist | 2011 N Van Buren St, Little Rock, AR 72207-4739 | 2007-02-21 |
| Street Address |
233 S 6TH ST APT 2406 233 S 6TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750618385 | Robert L Giuntoli | Obstetrics & Gynecology | 4537 Pine St, Philadelphia, PA 19143-1805 | 2009-11-03 |
| 1356496038 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 246 North Broad St, 15th Floor South Tower, Philadelphia, PA 19102 | 2007-01-24 |
| 1063995710 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1235527342 | University of Penn-medical Group | Obstetrics & Gynecology | 3400 Civic Center Blvd, 3rd Floor, Philadelphia, PA 19104-5127 | 2014-12-26 |
| 1568873156 | Margaret Elizabeth Whicker | Obstetrics & Gynecology | 3400 Civic Center Blvd, Philadelphia, PA 19104 | 2014-05-16 |
| 1881968063 | Fox Chase Cancer Center Medical Group, Inc | Obstetrics & Gynecology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2012-03-06 |
| 1366734550 | Erin Margaret George | Obstetrics & Gynecology | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2011-05-06 |
| 1770873085 | Lori Amanda Cory | Obstetrics & Gynecology | 3400 Civic Center Blvd, Philadelphia, PA 19104 | 2011-04-08 |
| 1023247335 | Nawar D Abdul Latif | Obstetrics & Gynecology | 3400 Civic Center Blvd, 3rd Floor West, Philadelphia, PA 19104-5127 | 2009-07-08 |
| 1649433319 | Janos L Tanyi | Obstetrics & Gynecology | 3400 Civic Center Boulevard, 3rd Floor, Philadelphia, PA 19104-4206 | 2008-07-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
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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.