Mangahas Medical Care, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01045012A Issued in IN

Legal business name

MANGAHAS MEDICAL CARE, P.C.

Practice address

521 W Chicago Ave
East Chicago, IN 46312-3206

Phone

(219) 397-6903

NPI assigned

Aug 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mylene Mangahas, MDNPI 1700992765

Title

President

Phone

(219) 397-6903

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mylene C Mangahas, MD

  • Internal Medicine Physician
  • North Las Vegas, NV
  • NPI 1700992765
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417063470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123206",
            "telephone_number": "219-397-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123206",
            "telephone_number": "219-397-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGAHAS MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANGAHAS",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-397-6903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01045012A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005078527",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000280536",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "0090000883",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanas Diana Lynch, MSW
• Dakotawetu Mable
• Jazmine Shaynika Mack, OTD, OTR/L, CLT, CWT
• Michael Maddox, MENTAL HEALTH TECH
• Major Hospital
• Jason Mantel
• Erin Mantis, HSPP
• Robert Scott Martin, DC
• Juanita C Matlock, LCSW
• Renea Maxfield

• Primary Care Clinic/Center in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.