MARTIN JOSEPH MANGAN III (NPI# 1104873108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104873108 |
| Entity Type | Individual |
| Full Name | MARTIN JOSEPH MANGAN III |
| Credential | MD |
| Practice Address |
1055 Dove Run Rd Suite 200 Lexington KY 40502-3536 |
| Practice Telephone | 8592694668 |
| Practice Fax Number | 8592665577 |
| Mailing Telephone | 8592694668 |
| Mailing Fax Number | 8592665577 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32706 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64327067 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972709103 | Martin A Mangan | Family Medicine | 10717 W State Street, Star, ID 83669 | 2007-06-25 |
| Street Address |
1055 DOVE RUN RD SUITE 200 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690317 | Jana Sue Cuddy | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502 | 2005-12-19 |
| 1902241458 | Lexlo, LLC | Family Medicine | 1055 Dove Run Rd, Suite 210, Lexington, KY 40502-3536 | 2013-05-09 |
| 1164778163 | American Current Care Pa | Clinic/Center | 1055 Dove Run Rd, N/a, Lexington, KY 40502-3536 | 2012-07-27 |
| 1871849885 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 1055 Dove Run Rd, N/a, Lexington, KY 40502-3536 | 2012-07-27 |
| 1447468459 | Amy Jennifer Green | Family Medicine | 1055 Dove Run Rd, Suite 200, Lexington, KY 40502-3536 | 2007-05-21 |
| 1083777957 | Lexington Vein & Aesthetic Center, Pllc | Surgery | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-12-19 |
| 1497842009 | Quentin Moore | Registered Nurse | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-10-06 |
| 1134224355 | Susan K. Svetich | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-09-13 |
| 1457463911 | Kirsten K Bradford Sharp | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-08-31 |
| 1417982299 | Donna Yancey Farmer | Internal Medicine | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1922624774 | Cindy Viers | Family Medicine | 310 Oxford Rd, Lexington, OH 44904-1039 | 2020-06-17 |
| 1992338818 | Sarah Angelina Clem | Family Medicine | 2251 War Admiral Way Ste 125, Lexington, KY 40509-2546 | 2020-02-19 |
| 1073144481 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 224 N Martin Luther King Blvd Ste 200, Lexington, KY 40507-2133 | 2020-02-04 |
| 1952955056 | Preferred Injury Physicians LLC | Family Medicine | 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 | 2019-07-26 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| 1881258085 | Mallory Jade Guagenti | Family Medicine | 3399 Tates Creek Rd Ste 230, Lexington, KY 40502-7404 | 2019-04-24 |
| 1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on MARTIN JOSEPH MANGAN III.
| 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.