DR. DAVID EUGENE MANGOLD (NPI# 1588678726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588678726 |
| Entity Type | Individual |
| Full Name | DR. DAVID EUGENE MANGOLD |
| Credential | M.D. |
| Practice Address |
3611 22nd Pl Lubbock TX 79410-1317 |
| Practice Telephone | 8067712222 |
| Practice Fax Number | 8067712224 |
| Mailing Telephone | 8067712222 |
| Mailing Fax Number | 8067712224 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | E2698 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | E2698 | 01 |
| TX | 110102404 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3611 22nd Pl, Lubbock, TX 794101317 | 8067997928 | 8067888560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164533618 | David E. Mangold | Physician Assistant | 20 Four Mile Dr Ste 2, Kalispell, MT 59901-2644 | 2006-08-31 |
| Street Address |
3611 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386667632 | Derick Ray Haggard | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-26 |
| 1093058380 | Healthtexas Provider Network-transplant Services, LLP | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2013-04-04 |
| 1245446434 | Travis Daniel Eggl | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2007-05-15 |
| 1912035502 | Lubbock Surgical Associates, LLP | Specialist | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2007-03-02 |
| 1003830217 | Ted W Allen | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-27 |
| 1093729253 | Gerald Lynn Woolam | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-27 |
| 1912920141 | Sammy Dale Rivas | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093194292 | John Mark Chauncey | Surgery | 2505 31st St, Lubbock, TX 79410-3427 | 2015-05-21 |
| 1346628302 | Mary Scheerer | Surgery | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2015-05-11 |
| 1427324094 | Brian J Norkiewicz Md Pa | Surgery | 3711 22nd St Ste C, Lubbock, TX 79410-1303 | 2012-03-28 |
| 1194968867 | Rebeccah Bradshaw Baucom | Surgery | Texas Tech Physicians 3601 4th Street 4th Floor, Lubbock, TX 79430 | 2009-04-10 |
| 1578709390 | Sandra Dickerson Md Pa | Surgery | 5004 Frankford Ave, Suite 400, Lubbock, TX 79424-1131 | 2008-12-29 |
| 1427294560 | Robyn Elizabeth Richmond | Surgery | 3601 4th St Stop 8312, Lubbock, TX 79430-8312 | 2008-12-19 |
| 1508038332 | Eric Christopher Minns | Surgery | 10202 Quaker Ave, #100, Lubbock, TX 79424 | 2008-04-01 |
| 1316156284 | Desirae M Mckee | Surgery | 5613 114th, Lubbock, TX 79424 | 2007-05-21 |
| 1821119926 | Turlapati Ramamohan Rao | Surgery | 3809 22nd St, Suite C, Lubbock, TX 79410-1198 | 2007-04-03 |
| 1972661742 | G. Baird Helfrich, M.d., P.a. | Surgery | 3606 21st Street, Suite 104, Lubbock, TX 79410 | 2006-12-05 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on DR. DAVID EUGENE MANGOLD.
| 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.