MR. REDENCIO D MANGOHIG JR. (NPI# 1083928865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083928865 |
| Entity Type | Individual |
| Full Name | MR. REDENCIO D MANGOHIG JR. |
| Credential | IDC |
| Practice Address |
Psc 475 Box 1294 Fpo AP 96350-9998 |
| Practice Telephone | 3152438758 |
| Mailing Telephone | 3152438758 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
PSC 475 BOX 1294 |
| City | FPO |
| State | AP |
| Zip Code | 96350-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686360 | Cormac O'connor | Family Medicine | Psc 475, Fpo, AP 96350 | 2005-08-12 |
| 1598258683 | Michelle Kay Mckenna | Advanced Practice Midwife | Psc 475, Fpo, AP 96350-9998 | 2018-06-13 |
| 1427578327 | Emma Kim Ly | Optometrist | Psc 475, Fpo, AP 96350-9998 | 2017-06-21 |
| 1316491822 | Molly Hurda | Nurse Practitioner | Psc 475, Fpo, AP 96350-1692 | 2016-08-12 |
| 1326407982 | Michael Tsuji | Pharmacist | Psc 475, Box 1603, Fpo, AP 96350-9998 | 2016-02-10 |
| 1033593561 | Oluwole Afuape | Occupational Therapist | Psc 475, Fpo, AP 96350-9998 | 2015-07-14 |
| 1841606829 | Dane Masuda | Physician Assistant | Psc 475, Box 1 Code 43, Fpo, AP 96350-9998 | 2014-07-10 |
| 1992127583 | Michelle Rundell | Family Medicine | Psc 475, Box 1398, Fpo, AP 96350-9998 | 2014-01-15 |
| 1043644032 | Nausheen Momen | Psychologist | Psc 475, Box 1, Fpo, AP 96350-9998 | 2013-08-26 |
| 1184965089 | Christian Papa Lares | Dentist | Psc 475, Box 1721, Fpo, AP 96350-9998 | 2013-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538359922 | Usnh Yokosuka | Clinic/Center | Psc 475 Box 1 Code 08, Fpo, AP 96350 | 2007-07-31 |
| 1184793234 | Naval Hospital Yokosuka | Military/U.S. Coast Guard Pharmacy | Bldg 1400, San Diego Street, Fpo, AP 96350 | 2006-11-06 |
| 1912956558 | Naval Hospital Yokosuka | Military Hospital | Psc 475 Box 1, Code 081, Drm/ubo, Fpo, AP 96350 | 2006-05-10 |
| 1598737439 | Sandra Merene Pothula | Nurse Practitioner | Psc 475, Box1752, Fpo, AP 96350 | 2006-02-05 |
| 1689654535 | Oscar Cheung | Dentist | Psc 475 Box 1487, Fpo, AP 96350 | 2006-01-18 |
| 1477532083 | Gloria Lynn Garner | Pharmacist | Psc 474 Box 6908, Fpo, AP 96350 | 2006-01-11 |
| 1699752881 | Viswanadham Pothula | Colon & Rectal Surgery | Psc 475 Box 1752, Fpo, AP 96350 | 2005-12-28 |
| 1861479263 | Malgorzata Elzbieta Wojtowicz | Internal Medicine | Us Naval Hospital Yokosuka, Japan, Psc 475, Box 1, Fpo, AP 96350 | 2005-12-28 |
| 1699752410 | Eun Jang Pyeun-kim | Dentist | Usnh Psc 475, Box 1375, Fpo, AP 96350 | 2005-12-22 |
| 1629054507 | Leona Rader | Social Worker | Psc 475, Box 1, Fpo, AP 96350 | 2005-12-21 |
| Find all providers in zip 96350 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1396370623 | Daniel Rocha Moy | Military Health Care Provider | Uss Thunderbolt (pc-12), Fpo, AE 09588 | 2020-03-06 |
| 1639701634 | Stephen Henderson | Military Health Care Provider | 3d Recon Bn, Force Co., Unit 36180, Fpo, AP 96389-6180 | 2020-02-07 |
| 1649810219 | Maxwell Onyedikachi Osisioma | Military Health Care Provider | Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 | 2020-01-13 |
| 1508406273 | Daniel Levin | Military Health Care Provider | 3d Recon Bn Aid Station, Fpo, AP 96389-6189 | 2020-01-10 |
| 1053955609 | Christopher Zartman | Military Health Care Provider | Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 | 2019-11-06 |
| 1912553975 | Brandon Joseph Dapper | Military Health Care Provider | Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 | 2019-08-15 |
| 1518525583 | William Edward Mcbreen Jr. | Military Health Care Provider | Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 | 2019-06-04 |
| 1558832345 | Nathaniel Franklin Campbell | Military Health Care Provider | Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 | 2018-12-06 |
| Find all providers in FPO | ||||
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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.