Meredith Mangum (NPI# 1740663657, PAC ID# 6709194830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740663657 |
| PAC ID by PECOS | 6709194830 |
| Professional Enrollment ID | I20151008002877 |
| Full Name | Meredith Mangum |
| Organization Legal Name | DAVID J BUTUK MD PA |
| Address |
1525 E Leigh Field Dr Suite 150 Meridian ID 83642-5371 |
| Phone Number | 2088881199 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698669422 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 | 2088881199 | DAVID J BUTUK MD PA |
| Organization Legal Name | DAVID J BUTUK MD PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle Tyler Barney | Nurse Practitioner | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Jennifer R Appel | Physician Assistant | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Shauna Lynn Lacow | Nurse Practitioner | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| David J Butuk | Family Medicine | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Scott T Frisby | Physician Assistant | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Street Address |
1525 E LEIGH FIELD DR SUITE 150 |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-5371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle Tyler Barney | Nurse Practitioner | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Jennifer R Appel | Physician Assistant | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Shauna Lynn Lacow | Nurse Practitioner | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| David J Butuk | Family Medicine | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Scott T Frisby | Physician Assistant | David J Butuk Md Pa | 1525 E Leigh Field Dr, Suite 150, Meridian, ID 83642-5371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Meredith Mangum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.