Victor R Mangler, MD
Individual provider Active NPI Family Medicine Physician · Cassville, MO
NPI 1962545376 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1962545376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 100278 (MO)
- Practice address
- 1 Medical PLZ
Cassville, MO 65625-1602 - Phone
- (417) 847-5225
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 100278 | MO | Yes |
Addresses
Primary practice location
1 Medical PLZ
Cassville, MO 65625-1602
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99266 | Other | AR | ARK BLUE SHIELD |
| 155444 | Other | MO | MO BLUE SHIELD |
Other providers in Cassville, MO
- KMJ Enterprises Cassville LLC
- Koinonia Kounseling, LLC
- Kristy Montz Chiropractor P C
- M & R Long, Inc
- M D M DO, LLC
- Mark D Matthews
- Stephen Joseph Mebruer
- Mercy Clinic Springfield Communities
- Mercy Hospital Cassville
- Mercy Hospital Cassville
All providers in Cassville, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.