Active NPI
Gregory Scott Mangen, DO
- Hospitalist Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 34.008862
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 395-6665
- Fax
- (937) 395-6668
- NPI assigned
- May 3, 2007
- Last updated
- Dec 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34.008862 | OH | |
| Hospitalist Physician | 208M00000X | 34.008862 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Other practice location 1
793 W State St
Room 3N09
Columbus, OH 43222-1551
Phone (614) 234-3824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2769133 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmangen183172@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 335-1210
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
950 W Wooster St
Bowling Green, OH 43402-2603
Phone (844) 270-6621
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Ohio Hospital Medicine Physicians LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Internal Medicine | Current | Accepting new patients |
| Kettering Independent Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Knox Community Hospital | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Internal Medicine | Current | Accepting new patients |
| Dayton Osteopathic Hospital | Past | Accepting new patients | |
| Adena Health System | Past | Accepting new patients | |
| Mount Carmel Health System | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
75 Hospital Dr
Ste 170
Athens, OH 45701
Phone (740) 331-7111
75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100
950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
793 W State St
Rm 3N9
Columbus, OH 43222
Phone (614) 234-3824
Dept L3652
Columbus, OH 43260
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Chillicothe, OH
- NPI 1861038069
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Internal Medicine
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1023794377
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1154483022
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
Internal Medicine
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
-
- Internal Medicine Physician
- Grove City, OH
- NPI 1467430801
-
dba KCH Northside Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
-
- General Acute Care Hospital
- Mount Vernon, OH
- NPI 1295761963
-
dba Knox Community Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Mount Vernon, OH
- NPI 1366154064
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adena Regional Medical Center
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
dba Blanchard Valley Hospital
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1386856581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-395-6665",
"fax_number": "937-395-6668"
}
],
"practiceLocations": [
{
"address_1": "793 W State St",
"address_2": "Room 3N09",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432221551",
"country_code": "US",
"telephone_number": "614-234-3824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGEN",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.008862",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "34.008862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2769133",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmangen183172@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.
- 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.