Michael W Mangelson (NPI# 1114944790, PAC ID# 6709809288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1114944790 |
PAC ID by PECOS | 6709809288 |
Professional Enrollment ID | I20060111000145 |
Full Name | Michael W Mangelson |
Organization Legal Name | IHC HEALTH SERVICES INC |
Address |
1050 E S Temple Salt Lake City UT 84102-1507 |
Phone Number | 8013504111 |
Gender | M |
Credential | MD |
Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1989 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 1850209420 |
Number of Group Practice Members | 2290 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460006 | LDS HOSPITAL |
460010 | INTERMOUNTAIN MEDICAL CENTER |
460004 | MCKAY DEE HOSPITAL |
460015 | LOGAN REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
700 S Hwy 99, Suite 3, Fillmore, UT 84631-5137 | 4357435555 | IHC HEALTH SERVICES INC |
1050 E S Temple, Salt Lake City, UT 84102-1507 | 8013504111 | IHC HEALTH SERVICES INC |
325 8th Ave, Salt Lake City, UT 84143-0001 | 8014083617 | IHC HEALTH SERVICES INC |
389 S 900, Salt Lake City, UT 84102-2310 | IHC HEALTH SERVICES INC | |
8 Th Ave and C St, Salt Lake City, UT 84143-0001 | IHC HEALTH SERVICES INC |
Organization Legal Name | IHC HEALTH SERVICES INC |
Physicians | 2509 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
Street Address |
1050 E S TEMPLE |
City | SALT LAKE CITY |
State | UT |
Zip | 84102-1507 |
Name | Specialty | Organization | Address |
---|---|---|---|
William R Smith | Certified Registered Nurse Anesthetist (crna) | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Clyn A Robinson | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Tammy K Park | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Julie A Roberts-morris | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
John A Silverman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Richard Bart Johansen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Matthew David Wolfe | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
John Caplette | Certified Registered Nurse Anesthetist (crna) | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Layhong Soth | Internal Medicine | Santibanez Aguirre Slc PC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Shane R Taufer | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
Charles Ty Nuttall | Clinical Social Worker | 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | |
Darren F Groberg | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
Daniel Preece | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
Steven R Taylor | Otolaryngology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
Kian Eftekhari | Ophthalmology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
Edwin Awinda | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
Bernard M Mutie | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
Nathan Michael Hastings | Hospitalist | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
Find all physicians in zip 84102 |
City | SALT LAKE CITY |
Zip Code | 84102 |
Specialty | UROLOGY |
City + Specialty | SALT LAKE CITY + UROLOGY |
Please comment or provide details below to improve the information on Michael W Mangelson.
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.