Mangold Center for Family Health and Wellness

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

32859 Issued in WI

Legal business name

MANGOLD CENTER FOR FAMILY HEALTH AND WELLNESS

Practice address

120 N Main St
#120
West Bend, WI 53095-3376

Phone

(262) 338-8100

Fax

(262) 292-9747

NPI assigned

May 20, 2009

Last updated

Sep 1, 2011By 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. Michael N Mangold, MDNPI 1588685895

Title

President/Owner

Phone

(262) 338-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michael Norbert Mangold, M.D.

  • Family Medicine Physician
  • West Bend, WI
  • NPI 1588685895
  Authorized official Same address or phone
• Burton J Friedman, M.D.

  • Cardiovascular Disease Physician
  • River Hills, WI
  • NPI 1124007034
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1649405564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 120",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953360",
            "telephone_number": "262-338-8100",
            "fax_number": "262-338-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "address_2": "#120",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953376",
            "telephone_number": "262-338-8100",
            "fax_number": "262-292-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGOLD CENTER FOR FAMILY HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "MANGOLD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "262-338-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "32859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaizad P Machhi, MD
• Hailey Mahoney
• Dawn A Malaj, OTR
• Elizabeth A Malecha
• Carolyn Mangan-Casey, LCSW
• Michael Norbert Mangold, M.D.
• Marathon Health, LLC (Marathon Health, West Bend WI)
• David R Markovich, DDS
• Elizabeth K. Markworth, R.N.
• Jorge Marquez de Leon, MD

• General Practice Physician in West Bend, WI
• Providers in West Bend, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.