Active NPI
Mona S Mange, M.D.
- Pediatrics Physician
- Tulsa, OK
National Provider Identifier
1265410229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12981
- Practice address
- 3931 E 98TH St
Tulsa, OK 74137-5202 - Phone
- (918) 299-2389
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12981 | OK | Primary |
Addresses
Primary practice location
3931 E 98TH St
Tulsa, OK 74137-5202
Mailing address
3931 E 98TH St
Tulsa, OK 74137-5202
Phone (918) 299-2389
Other names 1
- Mona J Stephan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springer Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1316949860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1265410229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3931 E 98TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741375202",
"telephone_number": "918-299-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 E 98TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741375202",
"telephone_number": "918-299-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGE",
"first_name": "MONA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "12981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONA",
"last_name": "STEPHAN",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.