DR. DEV MANGALAT


Address: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
Phone: 7705340110

DR. DEV MANGALAT (NPI# 1609040401) 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) 1609040401
Entity Type Individual
Full Name DR. DEV MANGALAT
Credential MD
Practice Address 725 Jesse Jewell Pkwy Se
Gainesville
GA 30501-3834
Mailing Address Po Box 658
Gainesville
GA 30503-0658
Practice Telephone 7705340110
Practice Fax Number 7705342555
Mailing Telephone 7707181122
Mailing Fax Number 7705357445
Enumeration Date 2008-04-14
Last Update Date 2012-12-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
145571 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA AMERIGROUP 01355160 01
GA CIGNA 4453689 01
GA WELLCARE 559684 01
GA 794441598B 05
GA BCBS 52289700 01
GA AETNA 9102580 01
GA MEDICARE RAILROAD P00903608 01
GA UHC 3186961 01
GA 794441598A 05
GA 794441598D 05

Office Location

Street Address 725 JESSE JEWELL PKWY SE
City GAINESVILLE
State GA
Zip Code 30501-3834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861495491 Priscilla Ruth Strom Surgery 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2005-05-27
1578040523 Jeffrey Scott Wieseman Registered Nurse 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2018-07-23
1164916581 Anny Sosebee Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2018-06-19
1538653829 D'anna Cain Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2018-06-19
1518471044 Cheryl Lynn Thorsten Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2017-11-20
1669915930 Abigail Grace Bell Dietitian, Registered 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-11-18
1710431226 Oteia Keion Morris Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2016-08-12
1588015473 Aliah D Sapp Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-06-22
1821447434 Michelle Marie Ladewig Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-06-06
1770944373 Kathryn Martin Weeks Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-03-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
Find all providers in zip 30501

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740468396 Cardiac & Vascular Surgery Specialist, Pa Surgery 1121 Nw 64th Terr., Ste A, Gainesville, FL 32605 2008-02-06
1790797421 Anthony Vincent Caggiano Sr. Surgery 1100 Nw 8th Ave, Suite B, Gainesville, FL 32601-2916 2006-08-12
1730479247 Raquel Camille Jones Surgery 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2011-04-18
1801109368 Niraj Parikh Surgery 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501-3466 2010-07-26
1043407851 Robert L R Wesly M D Ph D P A Surgery 2251 Nw 41st St, Suite E, Gainesville, FL 32606-7498 2007-09-26
1548394455 Robert L R Wesly Surgery 1143 Nw 64th Ter, Gainesville, FL 32605-4218 2007-03-15
1457369258 Charles Daniel Procter Sr. Surgery 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2006-08-04
1972530822 Timothy C Flynn Surgery 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2006-06-27
1639118532 Scott A Berceli Surgery 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2006-06-06
1689671364 Charles Bruce Moomey Jr. Surgery 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2005-07-07
Find all providers in GAINESVILLE

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City GAINESVILLE
Zip Code 30501

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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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