DR. ALICIA MANGRAM


Address: 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354
Phone: 6026333721

DR. ALICIA MANGRAM (NPI# 1972575504) 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) 1972575504
Entity Type Individual
Full Name DR. ALICIA MANGRAM
Credential MD
Practice Address 16601 N 40th St Ste 227
Phoenix
AZ 85032-3354
Practice Telephone 6026333721
Practice Fax Number 6025951127
Mailing Telephone 6026333721
Mailing Fax Number 6025951127
Enumeration Date 2006-02-07
Last Update Date 2019-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
45385 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 144729405 05

Office Location

Street Address 16601 N 40TH ST STE 227
City PHOENIX
State AZ
Zip Code 85032-3354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043854623 Dee Alley Ensign Physician Assistant 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2019-11-06
1376027557 Charles Douglas Balcome Nurse Practitioner 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2018-09-24
1548756794 Dustin Richard Husemann Nurse Practitioner 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2018-07-10
1164809893 Jennifer Rae Quezada Registered Nurse 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2015-05-01
1770998007 Thomas Cox Surgery 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2014-06-25
1164765731 Tony Dunne Surgery 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2013-04-02
1649546193 Ace Assaf Ovil Surgery 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2012-03-29
1831464858 Alyssa Kristine Stassi Surgery 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2012-03-09
1821370974 Affordable Family Practice, Inc. Family Medicine 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2011-09-14
1891012225 Hoang Lim Surgery 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2010-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689298838 Eboni Nicole Morris Psychologist 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 2020-06-03
1326688573 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 2020-01-15
1740836642 Integrated Medical Services Inc Internal Medicine 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1639739576 Sarah Martin Physical Therapy Assistant Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 2019-06-13
1750846168 Conte Sport Performance Therapy LLC Physical Therapist 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 2019-02-11
1659848208 Pacific Dental Services Foundation Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1083100812 Phoenix Interventional Pain Management, Pllc Anesthesiology 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 2018-07-04
1770074635 Np Professional LLC Clinic/Center 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 2018-02-23
1396263307 Cheryl Anne Miller Registered Nurse 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
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Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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
1205095817 Andrews C Ninan Surgery 2601e Roosevelt Street, Maricopa Medical Center, Phoenix, AZ 85008 2008-06-09
1437206562 Nicole P Piscatelli Surgery 3141 N 48th St, Phoenix, AZ 85018-6564 2007-01-04
1154438133 Michael Corneille Surgery 9250 N 3rd Sreet, Suite 3015, Phoenix, AZ 85020-2425 2006-08-24
1447729975 Valley Associates Prs Pllc Surgery 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080 2018-11-14
1114400314 Kma Surgical Assist LLC Surgery 901 E Jefferson St, Phoenix, AZ 85034-2219 2018-09-13
1619200722 District Medical Group, Inc Surgery 2525 E Roosevelt St, Surgery Clinic, Phoenix, AZ 85008-4948 2009-09-09
1831324383 Scottsdale Acute Care Surgery, LLC Surgery 9250 N 3rd St, Suite 3000, Phoenix, AZ 85020-2437 2009-05-27
1447430491 Francis Reginald Ali-osman Surgery 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 2007-11-07
1669590543 Mark Steven Molitor Jr. Surgery 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 2007-03-27
1407941602 Michael D. Peck Surgery 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2006-10-04
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Competitor

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City PHOENIX
Zip Code 85032

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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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