Emily Grace Mangham (NPI# 1295215333, PAC ID# 2769727734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295215333 |
| PAC ID by PECOS | 2769727734 |
| Professional Enrollment ID | I20181219001382 |
| Full Name | Emily Grace Mangham |
| Organization Legal Name | MUNNI SELAGAMSETTY,MD,PC |
| Address |
2875 International Cir Colorado Springs CO 80910-3144 |
| Phone Number | 7193890070 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981773504 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2875 International Cir, Colorado Springs, CO 80910-3144 | 7193890070 | MUNNI SELAGAMSETTY,MD,PC |
| Organization Legal Name | MUNNI SELAGAMSETTY,MD,PC |
| Physicians | 1 |
| Street Address |
2875 INTERNATIONAL CIR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80910-3144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A Morrow | Nurse Practitioner | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Jason Curd | Psychiatry | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Travis Porter | Psychologist, Clinical | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Jose Mathew | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Samuel A Martin Iv | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Venessa Ellington Alston | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Robert G Bleck | Psychiatry | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Nolan Williams | Psychiatry | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Dayanara T Gohil | Nurse Practitioner | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Katie Lynn Blickenderfer | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Find all physicians in zip 80910 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLORADO SPRINGS + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.