Patrick Mangonon MD PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME77600 Issued in FL

Legal business name

PATRICK MANGONON MD PA

Practice address

13005 Southern Blvd
Suite 103
Loxahatchee, FL 33470-9206

Phone

(561) 753-7890

Fax

(561) 753-7775

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Patrick T Mangonon, MDNPI 1023067584

Title

President

Phone

(561) 753-7890

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• DBA FLORIDA THORACIC AND CARDIOVASCULAR SURGEONS Doing business as

Practitioners 1

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

• Patrick Terry Mangonon, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Daytona Beach, FL
  • NPI 1023067584
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1952446536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210474",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334210474",
            "telephone_number": "561-753-7890",
            "fax_number": "561-753-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 103",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-753-7890",
            "fax_number": "561-753-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK MANGONON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MANGONON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-753-7890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME77600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1023067584",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256707500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00736326",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA FLORIDA THORACIC AND CARDIOVASCULAR SURGEONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Adrienne Park-Chaimowitz, SPEECH PATHOLOGIST
• William Parker
• Daxa Patel, M.D.
• Rahul Patel, M D
• Soniya Patel, M.D.
• Pbcgme
• Pbcgme/ Palms West Hospital
• Pbcgme/Palms West Hospital
• Pbcgme/Palms West Hospital
• Pbcgme/Palms West Hospital

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.