Mangil Seo MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

19652 Issued in IA

Legal business name

MANGIL SEO MD PC

Practice address

4505 SW 9TH St
Des Moines, IA 50315-3939

Phone

(515) 287-7777

Fax

(515) 287-7114

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Mangil Seo, MDNPI 1568474567

Title

Owner

Phone

(515) 287-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mangil Seo, M.D.

  • Surgery Physician
  • Des Moines, IA
  • NPI 1568474567
  NPD (past) Authorized official

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1649451857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153939",
            "telephone_number": "515-287-7777",
            "fax_number": "515-287-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153939",
            "telephone_number": "515-287-7777",
            "fax_number": "515-287-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGIL SEO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "MANGIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-287-7111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "19652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080598",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Maly, LISW
• Denise M Mandi, DPM
• Stephen R Mandler, D.O.
• Vincent Mandracchia, DPM
• Jared Mangels
• Mark Mankins, M.D.
• Madison Grace Mann, RN
• Paul C Mann, OD
• Skylar Manna
• Kayla Manning, PHARMD

• Clinic/Center in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.