Maribel Orante Mangilog, M.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

18429 Issued in MS

Practice address

4881 Sugar Maple Drive
Wright-Patterson Afb, OH 45433

Phone

(937) 257-9392

Fax

(937) 256-1175

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maribel Basinal Orante-Mangilog Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1285729137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9392",
            "fax_number": "937-256-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9392",
            "fax_number": "937-256-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGILOG",
        "first_name": "MARIBEL",
        "middle_name": "ORANTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MS",
            "license": "18429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBEL",
            "last_name": "ORANTE-MANGILOG",
            "middle_name": "BASINAL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Machi, CNS
• Guy R Majkowski, PT,DSC,OCS.FAAOMPT
• Monica S Malcein, PHD
• Kurian Thomas Maliel, MD
• Alice Jean Mang, LISW
• James Michael Manley, MD
• Jacob John Mansfield, MD
• Tracy Lynn Markle, LICSW
• Lindsey Marquez, CRNA
• Jon K. Marti, D.O.

• Clinical Pathology/Laboratory Medicine Physician in Wright-Patterson Afb, OH
• Providers in Wright-Patterson Afb, OH by specialty
• Clinical Pathology/Laboratory Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.