DR. ANGELO MANCUSO (NPI# 1992777627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992777627 |
| Entity Type | Individual |
| Full Name | DR. ANGELO MANCUSO |
| Credential | DO |
| Practice Address |
540 Hughes Rd Madison AL 35758-8959 |
| Mailing Address |
2828 Highway 31 S Decatur AL 35603-1538 |
| Practice Telephone | 2567729996 |
| Practice Fax Number | 2567720294 |
| Mailing Telephone | 2563519077 |
| Mailing Fax Number | 2563510294 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
DO-196 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
540 HUGHES RD |
| City | MADISON |
| State | AL |
| Zip Code | 35758-8959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700861713 | Jeanine Marie Loncar | Obstetrics & Gynecology | 540 Hughes Rd, Suite 7, Madison, AL 35758-8999 | 2005-12-13 |
| 1942829502 | Blue Sky Counseling Services LLC | Clinic/Center | 540 Hughes Rd, Madison, AL 35758-8999 | 2020-04-14 |
| 1336779370 | Sharon Leigh Wilson | Hospice Care, Community Based | 540 Hughes Rd, Madison, AL 35758-8999 | 2020-01-17 |
| 1134518475 | Lauren Roy | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2015-01-09 |
| 1861881104 | Meredith Syx Taylor | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2015-01-09 |
| 1184024630 | Albert Willis II | Oral & Maxillofacial Surgery | 540 Hughes Rd, Suite 6, Madison, AL 35758-8999 | 2014-09-02 |
| 1801146949 | Elizabeth Ayer Whitehead | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2012-09-17 |
| 1356646210 | Matthew L Thompson | Counselor | 540 Hughes Rd, Madison, AL 35758-8999 | 2011-01-24 |
| 1992039770 | Tiffany M Johnson | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2009-09-25 |
| 1629204359 | Andrea Langston Johnson | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8959 | 2009-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235505710 | Mhs Primary Care Inc. | Dermatology | 1353 Boston Post Rd, Madison, CT 06443-3445 | 2015-08-19 |
| 1215007455 | Madison Dermatology LLC | Dermatology | 122 Demaree Dr, Madison, IN 47250-4622 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437334026 | John D. Sherrod, M.d., L.L.C. | Dermatology | 27625 Highway 98, Building B, Daphne, AL 36526-4816 | 2008-01-02 |
| 1376725887 | Ronderos Aesthetics, LLC | Dermatology | 1132 Hillcrest Rd, Mobile, AL 36695-3920 | 2007-11-27 |
| 1033208541 | Retna A Billano | Dermatology | 4325 Dolly Ridge Road, Vestavia, AL 35243 | 2006-10-12 |
| 1558318477 | Sarah Boyce Sawyer | Dermatology | 201 Office Park Drive, Suite 250, Birmingham, AL 35223 | 2006-05-27 |
| 1740579036 | Adam Laughlin Sperduto | Dermatology | 2000 Stonegate Trl Ste 112, Vestavia Hls, AL 35242-2237 | 2011-04-07 |
| 1770782849 | Decatur Dermatology, PC | Dermatology | 1316 Somerville Rd Se, Suite 4, Decatur, AL 35601-4305 | 2007-07-17 |
| 1023195393 | Laser and Skin Care Center of Mobile | Dermatology | 3 Mobile Infirmary Cir, Suite 303, Mobile, AL 36607-3520 | 2006-11-01 |
| 1013004860 | John Stewart Peters | Dermatology | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2006-10-05 |
| 1972562213 | Dermatology Associates Pa | Dermatology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-03-23 |
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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.