Rhonda Spring Mangrum, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101243455 Issued in VA

Practice address

4012 Raintree Rd
Suite 200a
Chesapeake, VA 23321-3741

Phone

(757) 488-2223

Fax

(757) 488-8398

NPI assigned

Apr 29, 2008

Last updated

Sep 24, 2010By 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 1

Addresses

Other names 1

• Rhonda Spring Houpt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renaissance Pediatrics PC

  • Pediatrics Physician
  • Chesapeake, VA
  • NPI 1427061340
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1750556973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 RAINTREE RD",
            "address_2": "SUITE 200A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213741",
            "telephone_number": "757-488-2223",
            "fax_number": "757-488-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 RAINTREE RD",
            "address_2": "SUITE 200A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213741",
            "telephone_number": "757-488-2223",
            "fax_number": "757-488-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRUM",
        "first_name": "RHONDA",
        "middle_name": "SPRING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101243455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "HOUPT",
            "middle_name": "SPRING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ross A. Malley, MD
• Tiara Mallory, RBT
• Arlene Malone, PH.D., LPC, NCC
• Alyssa Malvinni, LMT
• Cristie Tamar Mangrum
• Jose Mangual III
• Leia Manibusan
• Janiah Jada Manley, CCC-SLP
• Katie Louise Mann, NP
• Mary Elizabeth Mann, CRNA

• Pediatrics Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.