William T Mangan Jr. (NPI# 1851392195, PAC ID# 8426035791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1851392195 |
| PAC ID by PECOS | 8426035791 |
| Professional Enrollment ID | I20040706000095 |
| Full Name | William T Mangan Jr. |
| Organization Legal Name | IAH OF MICHIGAN PLLC |
| Address |
2205 Jolly Rd B Okemos MI 48864-3983 |
| Phone Number | 5173474085 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 9739404666 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2205 Jolly Rd A, Okemos, MI 48864-3983 | 5173474085 | VPA PC |
| 2205 Jolly Rd B, Okemos, MI 48864-3983 | 5173474085 | IAH OF MICHIGAN PLLC |
| Organization Legal Name | IAH OF MICHIGAN PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy S Oldejans | Nurse Practitioner | Iah of Michigan Pllc | 2205 Jolly Rd B, Okemos, MI 48864-3983 |
| Angela Ruby Yurk | Physical Medicine and Rehabilitation | Iah of Michigan Pllc | 4444 W Bristol Rd, Flint, MI 48507-3161 |
| Efren F Platon | Internal Medicine | Iah of Michigan Pllc | 21540 W 11 Mile Rd, Southfield, MI 48076-3843 |
| Thomas P Floyd | Family Practice | Iah of Michigan Pllc | 2205 Jolly Rd B, Okemos, MI 48864-3983 |
| Amgad L Nashed Awad | Family Practice | Iah of Michigan Pllc | 1985 Gratiot Blvd, Marysville, MI 48040-2215 |
| Ralph M Kelly | Internal Medicine | Iah of Michigan Pllc | 2205 Jolly Rd B, Okemos, MI 48864-3983 |
| Street Address |
2205 JOLLY RD B |
| City | OKEMOS |
| State | MI |
| Zip | 48864-3983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy S Oldejans | Nurse Practitioner | Iah of Michigan Pllc | 2205 Jolly Rd B, Okemos, MI 48864-3983 |
| Thomas P Floyd | Family Practice | Iah of Michigan Pllc | 2205 Jolly Rd B, Okemos, MI 48864-3983 |
| Ralph M Kelly | Internal Medicine | Iah of Michigan Pllc | 2205 Jolly Rd B, Okemos, MI 48864-3983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Delass | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Andrew Bult | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Eric L Luttig | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Megan Brew | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Alexzanda Jo Johnson | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Anthony P. Salvador | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Melissa B Kong | Optometry | Rx Optical Laboratories, Inc. | 2285 W Grand River, Okemos, MI 48864-1649 |
| Zachary Charles Smith | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Steven C Clerc | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Eghosa Aimuamwosa Olomu | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Find all physicians in zip 48864 | |||
| City | OKEMOS |
| Zip Code | 48864 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | OKEMOS + FAMILY PRACTICE |
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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.