John Stewart Mangione, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

F9769 Issued in TX

Practice address

4106 Medical Pkwy
Austin, TX 78756-3722

Phone

(512) 418-1979

Fax

(512) 418-1943

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14837/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1437195724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563722",
            "telephone_number": "512-418-1979",
            "fax_number": "512-418-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563722",
            "telephone_number": "512-418-1979",
            "fax_number": "512-418-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "JOHN",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "F9769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110164404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Manfull
• Mark Manfull
• Sandeep Kaur Mangat, NP
• Cameron Ellese Mangiafico, AGACNP-BC
• Stephan Mangin
• Chelsey Mango
• Barbara Mangold, PHARMD
• Maggie Mangrum
• Maribel Mangubat
• Laura Mangum, R.D., L.D.

• Colon & Rectal Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.