JAGJIT MANGAT (NPI# 1679516918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679516918 |
| Entity Type | Individual |
| Full Name | JAGJIT MANGAT |
| Credential | MD |
| Practice Address |
1221 Highland Ave Clarkston WA 99403-2829 |
| Mailing Address |
Po Box 17130 Reno NV 89511-3103 |
| Practice Telephone | 5097585511 |
| Mailing Telephone | 4806207181 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2002-0206 | NM | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD60249786 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1221 HIGHLAND AVE |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485221 | Tri-state Memorial Hospital | General Acute Care Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2005-05-27 |
| 1861011983 | Nicole Marie Bishop | Occupational Therapist | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2020-04-09 |
| 1164939500 | Emily Katherine Hunt | Health Educator | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2018-01-08 |
| 1831542331 | Jennifer Raykovich | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-07-20 |
| 1477904282 | Leah Hart | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-23 |
| 1295186195 | Chelsey Marie Woods | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-22 |
| 1679923767 | Trudy Bly | Registered Nurse | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-20 |
| 1568812808 | Jennifer Brooke Lind | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-17 |
| 1265849152 | Claudia-denise Haivas | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2014-07-13 |
| 1073955266 | Healing Wings International Pllc | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2013-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568843142 | David William Mcnaughton | Family Medicine | 6770 Dixie Hwy Ste 303, Clarkston, MI 48346-2090 | 2015-06-09 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1780927251 | Mary S Crowell | Family Medicine | 1119 Highland Ave Ste 10, Clarkston, WA 99403-2836 | 2013-04-02 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1194040626 | Sathish Mannaickal Philip | Family Medicine | 6483 Citation Dr Ste B, Clarkston, MI 48346-2994 | 2010-03-26 |
| 1952504987 | Maria Livieratos Md Pllc | Family Medicine | 5799 S Main St, #1472, Clarkston, MI 48347-9907 | 2007-06-07 |
| 1598897530 | Dorothy A. O. White-williams | Family Medicine | 3700 Market St Ste C, Clarkston, GA 30021-2652 | 2007-03-12 |
| 1396881827 | Clarkston Medical Clinic PC | Family Medicine | 5790 S Main Street, Ste J, Clarkston, MI 48346 | 2007-01-30 |
| 1427155985 | Comprehensive Medical Care | Family Medicine | 5710 Bella Rose Blvd, Suite 200, Clarkston, MI 48348-4773 | 2006-09-19 |
| 1437178720 | Fabrizio Di Noto | Family Medicine | 6483 Citation Drive, Suite B, Clarkston, MI 48346 | 2006-07-18 |
| Find all providers in CLARKSTON | ||||
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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.