Douglas B Mangan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

32915 Issued in AZ

Practice address

3125 N Dysart Rd
Avondale, AZ 85392-1208

Phone

(602) 726-8940

Fax

(602) 726-8941

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• VHS Outpatient Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1912979964
  Medicare reassignment NPD
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1891302790
  NPD
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1831181999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921208",
            "telephone_number": "602-726-8940",
            "fax_number": "602-726-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921208",
            "telephone_number": "602-726-8940",
            "fax_number": "602-726-8941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 W McDowell Rd",
            "address_2": "#302",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853382624",
            "country_code": "US",
            "telephone_number": "623-882-1292",
            "fax_number": "623-882-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "32915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866197",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Makdesi
• Nicole Makolle, RN
• Rohit Malhotra, M.D.
• Hana Maltbie, SLPA
• Mammography Partners LLC
• Nadia V Manivong, MD
• Amanda Mann
• Brianna Marie Manney
• Aman Manoj Kumar
• Amanda Manriquez

• Orthopaedic Surgery Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.