Gail R Mangan, ANP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN 207446 COA 01208 Issued in OH

Practice address

5812 Ridge Rd
Parma, OH 44129

Phone

(866) 389-2727

NPI assigned

Nov 22, 2006

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1740355767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293161",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9302 Olde 8 Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "OH",
            "postal_code": "440672027",
            "country_code": "US",
            "telephone_number": "330-468-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "GAIL",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "ANP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN 207446 COA 01208",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN207446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "1740355767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nestor Eyobi Makongo Jr.
• Rosemary Maksym
• William Allen Mallory, PT
• Priyank Mandalia
• Thomas Emil Mandat, MD
• Cara Marie Mangano, PEER SUPPORT
• Shannon Manning, P.T.
• Natalie Alexis Manno, PHARMD
• Manor Care of Parma Oh, LLC (ProMedica Skilled Nursing and Rehabilitation (Parma))
• John Mansour, MD

• Family Nurse Practitioner in Parma, OH
• Providers in Parma, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.