Gordon S. Mankins, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

252 Issued in AZ

Practice address

5620 E Bell Rd
Scottsdale, AZ 85254-5950

Phone

(602) 493-9361

Fax

(602) 493-9508

NPI assigned

May 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1104876101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 29870",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389870",
            "telephone_number": "602-772-3805",
            "fax_number": "602-772-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545950",
            "telephone_number": "602-493-9361",
            "fax_number": "602-493-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKINS",
        "first_name": "GORDON",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "3Z3914",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494097",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria D Mangione, PSYD
• Kartik Mangipudi, MD
• Aaron Mangold, M.D.
• Katherine Manhardt, FNP
• Joshua Nasen Maniam, MD
• Gloria Kate Manley, M.D.
• Kelsi Leone Manley, MD
• Grant Edward Mann I, LMT
• Kaitlyn Mann, APRN
• Mackenzie Mann, OTR/L

• Medical Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.