Gina Manguno-Mire, PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

930 Issued in LA

Practice address

1440 Canal St
10TH Floor
New Orleans, LA 70112-2703

Phone

(504) 988-2201

Fax

(504) 988-4270

NPI assigned

Mar 12, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457483604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST",
            "address_2": "10TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-2201",
            "fax_number": "504-988-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST",
            "address_2": "10TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-2201",
            "fax_number": "504-988-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUNO-MIRE",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tedrick Mangassarian, D.O.
• Raghubir Kaur Mangat, MD
• William Mitchell Mangham
• Elizabeth Anne Mangigian, LMSW
• Shannon Wall Mangum, OTR
• Nisha Manila
• Richard William Mankinen, MD
• Amy Marie Manley, FNP-BC
• Elena L Mann, MD
• Matthew Mann, MD

• Specialist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.