WELLS ISAAC MANGRUM


Address: 3130 Anric Dr, Eau Claire, WI 54701-3054
Phone: 7157173989

WELLS ISAAC MANGRUM (NPI# 1871768457) 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) 1871768457
Entity Type Individual
Full Name WELLS ISAAC MANGRUM
Credential M.D.
Practice Address 3130 Anric Dr
Eau Claire
WI 54701-3054
Practice Telephone 7157173989
Enumeration Date 2008-04-24
Last Update Date 2013-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
135225 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 3130 ANRIC DR
City EAU CLAIRE
State WI
Zip Code 54701-3054

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1619450954 Michael Brown Case Manager/Care Coordinator 102 S Barstow St, Eau Claire, WI 54701 2018-09-12
1417436569 Valerie Jayne Both Social Worker 1000 Starr Avenue, Eau Claire, WI 54701 2018-08-09
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1427564863 Matayla Springstroh Specialist/Technologist 509 University Drive, Eau Claire, WI 54701 2017-12-21
1265981062 Molly Hart Student in an Organized Health Care Education/Training Program 509 University Dr., Eau Claire, WI 54701 2016-09-22
1982051918 Renee Teigen-stary Registered Nurse 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 2016-05-19
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619040672 Alicia Christine Arnold Radiology 2715 W Frank St, Eau Claire, WI 54703-2593 2006-11-16
1255336897 Vicki L. Hawn Radiology 2116 Craig Rd, Eau Claire, WI 54701-6149 2005-06-20
1710327077 Cameron Leitch Radiology 1400 Bellinger St, Eau Claire, WI 54703-5222 2013-07-01
1114157369 Erik B. Sviggum Radiology 1400 Bellinger St, Eau Claire, WI 54703-5222 2009-07-22
1568696573 Megan Meyers Radiology 1400 Bellinger St, Eau Claire, WI 54703-5222 2009-05-05
1497997050 Ryan Sykes Jean-baptiste Radiology 1400 Bellinger St, Eau Claire, WI 54703-5222 2009-03-29
1093905861 Jeremy Frank Mcbride Radiology 1400 Bellinger St, Eau Claire, WI 54703 2007-07-27
1821295635 James Jeremy Kinsella Radiology 2116 Craig Rd, Eau Claire, WI 54701-6149 2007-06-27
1972642916 Peter Edward Humphrey Jr. Radiology 2116 Craig Rd, Eau Claire, WI 54701 2007-02-06
1952449597 Jan Stauss Radiology 900 W Clairemont Ave, Eau Claire, WI 54701-6122 2007-02-04
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Competitor

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City EAU CLAIRE
Zip Code 54701

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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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