MARK A MANEGOLD


Address: 2450 Kipling Ave, Suite 104, Cincinnati, OH 45239-6600
Phone: 5132334100

MARK A MANEGOLD (NPI# 1396749891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396749891
Entity Type Individual
Full Name MARK A MANEGOLD
Credential M.D.
Practice Address 2450 Kipling Ave
Suite 104
Cincinnati
OH 45239-6600
Mailing Address Po Box 632958
Cincinnati
OH 45263-2958
Practice Telephone 5132334100
Practice Fax Number 5137512267
Mailing Telephone 5134519698
Mailing Fax Number 5134519699
Enumeration Date 2005-06-13
Last Update Date 2012-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
35-051751 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH RAILROAD MEDICARE 100010946 01
OH 0737920 05

Office Location

Street Address 2450 KIPLING AVE
SUITE 104
City CINCINNATI
State OH
Zip Code 45239-6600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366610784 Obgyn Partners In Care Obstetrics & Gynecology 2450 Kipling Ave, Ste 201, Cincinnati, OH 45239-6600 2008-02-19
1679636807 Richard Jay Gaynor Psychologist 2450 Kipling Ave, Suite 100, Cincinnati, OH 45239-6600 2006-12-19
1841353422 Javier A Felipe-morales Md Inc Urology 2450 Kipling Ave, Suite 105, Cincinnati, OH 45239-6699 2006-12-18
1255413571 Cary Copeland Dpm Inc Podiatrist 2450 Kipling Ave, Medical Building 1 Suite 209, Cincinnati, OH 45239-6600 2006-10-19
1346251725 Charles O Dillard Internal Medicine 2450 Kipling Ave, Suite 108, Cincinnati, OH 45239-6600 2006-08-10
1003826991 Kelly Michelle Parsons Nurse Practitioner 2450 Kipling Ave, Suite 108, Cincinnati, OH 45239-6600 2006-08-09
1801826763 Juanita R Gaines Internal Medicine 2450 Kipling Ave, Suite 108, Cincinnati, OH 45239-6600 2006-07-04
1336106491 Thomas G Burch Ophthalmology 2450 Kipling Ave, Suite G05, Cincinnati, OH 45239-6600 2006-05-01
1780648923 Pamela Hughes Schaible Family Medicine 2450 Kipling Ave, Suite 108, Cincinnati, OH 45239-6600 2006-04-14
1356303069 Steven Arnold Rosner Dermatology 2450 Kipling Ave, Suite 202, Cincinnati, OH 45239-6600 2006-04-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003312786 Personal Companions Home Care LLC Home Health 6225 Colerain Ave Ste C, Cincinnati, OH 45239 2018-04-02
1447769047 Divine Destiny Home Care Agency In Home Supportive Care 6625 New Bridge Dr., Cincinnati, OH 45239 2017-09-26
1063939262 Alexandra Cunningham Registered Nurse 5730 Colerain Ave., Cincinnati, OH 45239 2017-08-28
1598289803 Jeanise D Randolph Case Manager/Care Coordinator 3425 North Bend Suite F, Cincinnati, OH 45239 2017-07-28
1407385925 Odessey Residential Homes LLC Assisted Living Facility 8240 Pippin Rd, Cincinnati, OH 45239 2017-06-08
1841727625 Danita Marie White Counselor 5887 Montfort Hills Ave. #3, Cincinnati, OH 45239 2017-05-11
1801249867 Regina Gullette Counselor 5980 Colerain Ave, 36, Cincinnati, OH 45239 2016-07-14
1811393051 Angela Bien Psychologist 3420 Banning Road, Cincinnati, OH 45239 2014-11-17
1568895076 Shavonne Noble Registered Nurse 1830 Sundale Ave, Cincinnati, OH 45239 2013-08-20
1609216613 Eusebio Tiu Gaw Surgery 3515 Banning Rd., Cincinnati, OH 45239 2013-07-05
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760681811 Karen Elizabeth Haberthier Internal Medicine 2925 Vernon Place, Suite 100, Cincinnati, OH 45226 2007-07-17
1831217975 Cincinnati Digestive Disease Associates Inc Internal Medicine 6350 E Galbraith Rd, Cincinnati, OH 45236-2354 2007-03-27
1720093586 Greater Cincinnati Digestive Health Network Internal Medicine 8260 Northcreek Dr, Suite 310, Cincinnati, OH 45236-2293 2006-07-30
1861416596 Gregory Mathias Lam Internal Medicine 7661 Beechmont Ave Ste 120, Cincinnati, OH 45255-4234 2006-07-26
1801815352 Kandarp Shah Internal Medicine 7502 State Rd Ste 1180, Cincinnati, OH 45255-2800 2006-07-18
1437120706 John R Loughrey Internal Medicine 5215 N Bend Rd, Cincinnati, OH 45247-8006 2006-01-27
1548259468 Lisa S. Lestina Internal Medicine 2925 Vernon Pl, Suite 100, Cincinnati, OH 45219-2425 2005-10-14
1073512729 Howard Deckter Internal Medicine 10600 Montgomery Rd, Suite 100, Cincinnati, OH 45242-4463 2005-07-15
1760488993 Stephen J Goldberg Internal Medicine 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 2005-06-22
1588668073 Robert E Krone Jr. Internal Medicine 6620 Clough Pike, Cincinnati, OH 45244-4053 2005-06-13
Find all providers in CINCINNATI

Competitor

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City CINCINNATI
Zip Code 45239

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Dataset Information

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.

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