Stephen Mange

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

26955 Issued in NC

Practice address

705 Griffith St
Suite 100
Davidson, NC 28036-9304

Phone

(704) 801-7900

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolinas Physicians Network Inc

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1437607686
  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Monroe, NC
  • NPI 1376898148

  Pediatrics

  NPD
• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1104851880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GRIFFITH ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GRIFFITH ST",
            "address_2": "SUITE 100",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369304",
            "telephone_number": "704-801-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGE",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "26955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Bivens Lum, CCC-SLP
• Jonathan Lundahl, DPT
• Robert H Lutz, MD
• Bailey Macleod, PHD
• Nadia A Mahgoub, R.PH.
• Megan Martin-Coffey
• Julie Lynnette Martin, M.A., LPC, NCC
• Callie Mayakis, PHARMD
• Aislinn Rayne Mayes, MA, NCC, LPCA
• Grayson Gabrilla McClamrock, FNP

• Pediatrics Physician in Davidson, NC
• Providers in Davidson, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.