DR. DEVINDER S MANGAT (NPI# 1265450100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265450100 |
| Entity Type | Individual |
| Full Name | DR. DEVINDER S MANGAT |
| Credential | M.D. |
| Practice Address |
133 Barnwood Dr Edgewood KY 41017-2500 |
| Practice Telephone | 8593319600 |
| Practice Fax Number | 8593315831 |
| Mailing Telephone | 8593319600 |
| Mailing Fax Number | 8593315831 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
17626 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
133 BARNWOOD DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697994 | Amber Mehle | Registered Nurse | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2020-01-02 |
| 1073055943 | Daybreak Operations, LLC | Clinic/Center | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2016-11-09 |
| 1205088150 | Jessica Lee Kulak | Otolaryngology | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2008-10-22 |
| 1043356504 | Holzapfel & Lied Plastic Surgery Center Psc | Clinic/Center | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2007-01-30 |
| 1477609584 | Martha E. Yunker | Nurse Anesthetist, Certified Registered | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2007-01-25 |
| 1669520318 | Mangat Medical LLC | Clinic/Center | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2007-01-08 |
| 1780607341 | Allison M Holzapfel | Plastic Surgery | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780607341 | Allison M Holzapfel | Plastic Surgery | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724997 | Mark E. Chariker | Plastic Surgery | 222 S 1st St, Suite 100, Louisville, KY 40202-1350 | 2005-07-14 |
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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.