DR. MICHAEL MANGONON


Address: 3775 Roswell Rd, Suite 250, Marietta, GA 30062-8836
Phone: 7703337888

DR. MICHAEL MANGONON (NPI# 1609013036) 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) 1609013036
Entity Type Individual
Full Name DR. MICHAEL MANGONON
Credential D.O.
Practice Address 3775 Roswell Rd
Suite 250
Marietta
GA 30062-8836
Practice Telephone 7703337888
Practice Fax Number 7703337889
Mailing Telephone 7703337888
Mailing Fax Number 7703337889
Enumeration Date 2009-01-07
Last Update Date 2015-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0105X Surgery
Specialization: Surgery of the Hand
050410 CT Allopathic & Osteopathic Physicians
Y 2086S0105X Surgery
Specialization: Surgery of the Hand
72644 GA Allopathic & Osteopathic Physicians
N 2086S0105X Surgery
Specialization: Surgery of the Hand
258302-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 3775 ROSWELL RD
SUITE 250
City MARIETTA
State GA
Zip Code 30062-8836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568864452 Carpus Surgery Center LLC Clinic/Center 3775 Roswell Rd, Suite 275, Marietta, GA 30062-8836 2014-09-23
1821490715 Atlanta Hand Therapy LLC Occupational Therapist 3775 Roswell Rd, Suite 250, Marietta, GA 30062-8836 2014-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619578051 Pamela D Kretzmer Social Worker 3855 Shallowford Road, Suite 420, Marietta, GA 30062 2020-11-03
1932714680 Michelle Chambless Physical Therapist Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 2020-09-10
1700408887 Life University Chiropractor 1323 Roswell Road, Marietta, GA 30062 2020-05-12
1104451160 Sno Healthcare Group Clinic/Center 2424 Roswell Rd Ste 120, Marietta, GA 30062 2020-03-10
1811536212 Sandy Plains Dental Group, PC Dentist 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 2020-01-02
1073159034 Magdala Tulcie Jodesty-jackson Social Worker 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 2019-11-25
1598235178 Matthew Driggers Counselor 4343 Shallowford Rd C2, Marietta, GA 30062 2018-11-27
1750895785 Emily Grace Minday Counselor 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 2017-11-29
1477072122 Jason Lee Amos Speech-Language Pathologist 3660 Chestnut Ridge Court, Marietta, GA 30062 2017-09-13
1346761376 Marian Pomaah Opoku-agyeman Nurse Practitioner 4661 Andrea Pointe, Marietta, GA 30062 2017-06-29
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Taxonomy Information

Taxonomy Code 2086S0105X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgery of the Hand

Taxonomy Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831396225 Brandy Noelle Cross Surgery 3747 Roswell Rd Ste 312, Marietta, GA 30062-6227 2007-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932709490 Lunate Surgery Center, LLC Surgery 6115 Peachtree Dunwoody Rd Ste 230, Sandy Springs, GA 30328-5546 2020-10-26
1326333907 Wellstar Medical Group, LLC Surgery 4550 Cobb Parkway Nw, Suite 309-b, Acworth, GA 30101-4180 2011-06-13
1447540828 Steven Benjamin Watson Surgery 3968 Felton Hill Rd, Suite 100, Smyrna, GA 30082-3522 2011-04-19
1083812523 Viralkumar Sureshchandra Patel Surgery 3903 South Cobb Drive, Suite 200, Smyrna, GA 30080 2007-07-06
1992063606 Georgia Plastic Surgery Consultants, LLC Surgery 1100 Northside Forsyth Dr, Suite 420, Cumming, GA 30041-6012 2012-05-01
1639408123 Dkumar LLC Surgery 3903 South Cobb Drive, Suite 200, Smyrna, GA 30080 2009-12-14
1144460510 Precision Hand and Reconstructive Surgery Surgery 2801 N Decatur Rd, Suite 395, Decatur, GA 30033-5949 2009-02-25
1962680991 Daniel Judah Holtz Surgery 4550 Cobb Parkway North Nw, Suite #309b, Acworth, GA 30101-4180 2008-02-01
1083818926 Steven Hugh Bailey Surgery 3450 Acworth Due West Rd Nw, #200, Kennesaw, GA 30144-1001 2007-06-13
1588620256 Jeffrey Klugman Surgery 980 Johnson Ferry Rd Ne, Ste 1020, Atlanta, GA 30342 2006-04-21
Find all providers with the same taxonomy

Competitor

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City MARIETTA
Zip Code 30062

Improve Information

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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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