Individual provider Active NPI

Ronald Eugene Mangie Jr., D.C.

  • Chiropractor
  • Poland, OH
National Provider Identifier
1356329239
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3351 Issued in OH
Practice address
263 W McKinley Way
Ste 101
Poland, OH 44514-1688
Phone
(330) 707-9127
Fax
(330) 707-9129
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3351 OH Primary

Addresses

Primary practice location

263 W McKinley Way
Ste 101
Poland, OH 44514-1688

Mailing address

263 W McKinley Way
Ste 101
Poland, OH 44514-1688
Phone (330) 707-9127

Other identifiers 2

IdentifierTypeStateIssuer
2581022MedicaidOH
000000369294OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000035 OH Practitioner - Chiropractic 8729023577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

263 W McKinley Way Unit
Suite 101
Poland, OH 44514-1688
Phone (330) 707-9127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3351OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health & Wellness Centers, Inc Chiropractor CurrentSince Jun 1, 2022 Accepting new patients
Dan G Tubbs Chiropractor PastSince Jul 11, 2015 Accepting new patients
Tubbs Chiropractic LLC Chiropractor PastSince Sep 3, 2012 Accepting new patients
Carradine Chiropractic Center, Inc. Chiropractor PastSince Jun 5, 2002 Accepting new patients

Locations

263 W McKinley Way
Ste 101
Youngstown, OH 44514
Phone (330) 707-9127

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1356329239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 W MCKINLEY WAY",
            "address_2": "STE 101",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141688",
            "telephone_number": "330-707-9127",
            "fax_number": "330-707-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 W MCKINLEY WAY",
            "address_2": "STE 101",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141688",
            "telephone_number": "330-707-9127",
            "fax_number": "330-707-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIE",
        "first_name": "RONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2581022",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000369294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.