Christian Mangrum
Internal Medicine (Endocrinology, Diabetes & Metabolism)

Address: 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120
Phone: 4025596876

Christian Mangrum (NPI# 1568789675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1568789675
Entity Type Individual
Full Name Christian Mangrum
Credential D.O.
Gender Male
Practice Address 984120 Nebraska Medical Ctr
Omaha
NE 68198-4120
Practice Telephone 4025596876
Practice Fax Number 4025599003
Mailing Address 984120 Nebraska Medical Ctr
Omaha
NE 68198-4120
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2010-04-28
Last Update Date 2013-06-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care 390200000X OR
Yes 207RE0101X Internal Medicine · Endocrinology, Diabetes & Metabolism Allopathic & Osteopathic Physicians 6901 NE

Physician Overview

NPI 1568789675
PAC ID by PECOS 1658503123
Professional Enrollment ID I20150828001804
Full Name Christian W Mangrum
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4052850660
Gender M
Graduation Year 2010
Primary Specialty ENDOCRINOLOGY
Group Practice PAC ID 1153468921
Number of Group Practice Members 417
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370047 MERCY HOSPITAL ARDMORE, INC
371317 MERCY HOSPITAL LOGAN COUNTY, INC
370011 MERCY HOSPITAL EL RENO

Office Location

Street Address 984120 NEBRASKA MEDICAL CTR
City OMAHA
State NE
Zip Code 68198-4120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093995342 Jennifer Marie Moeller Physician Assistant 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 2007-11-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437670460 David Collin Brown Student in an Organized Health Care Education/Training Program 985640 Nebraska Medical Center, Omaha, NE 68198 2017-06-29
1073033981 Daniel Ryan Mcdonald Anesthesiology 984150 Nebraska Medical Center, Omaha, NE 68198 2017-06-21
1194258764 Bryan Baker Student in an Organized Health Care Education/Training Program 986155 Nebraska Medical Ctr, Omaha, NE 68198 2017-04-10
1689026809 Kelsie Cabrera Obstetrics & Gynecology S 42nd St & Emile St, Omaha, NE 68198 2016-07-12
1063862779 Evin Lackore Pediatrics Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 2016-06-14
1861854259 Kathryn Moreland Obstetrics & Gynecology 601 N 30th St Cu Department of Ob/gyn, Omaha, NE 68198 2016-03-24
1629453915 Manoj Kumar Pilla Internal Medicine 983040 Nebraska Medical Center Omaha Ne 68198-3040, Omaha, NE 68198 2015-07-28
1710361233 Rahul Dhawan Student in an Organized Health Care Education/Training Program 982265 Nebraska Medical Center, Omaha, NE 68198 2015-07-14
1295129757 Brandon Mark Bennett Student in an Organized Health Care Education/Training Program 985640 Nebraska Medical Ctr, Omaha, NE 68198 2015-03-23
1083029151 Ashley Nelson Pediatrics 982185 Nebraska Medical Center, Omaha, NE 68198 2014-06-26
Find all providers in zip 68198

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275967051 Rose Salter Medical Research Foundation Internal Medicine 601 N. 30th St., Suite 6715, Omaha, NE 68131-2137 2013-08-28
1215376363 Andrea George Internal Medicine Chi Health Endocrinology, 2412 Cuming St., Omaha, NE 68131 2013-06-21
1710023866 Alain Taylon Internal Medicine 7710 Mercy Rd Ste 426, Omaha, NE 68124-2323 2007-01-29
1275644833 Robert R Recker Internal Medicine 601 N 30th St Ste 4820, Omaha, NE 68131-2137 2006-08-31
1174634059 Diabetes & Endocrine Associates, P.C. Internal Medicine 7831 Chicago Ct, Omaha, NE 68114-3654 2006-08-31
1184733966 J. Christopher Gallagher Internal Medicine 601 N 30th St Ste 6712, Omaha, NE 68131-2137 2006-08-29
1558476440 Andjela T. Drincic Internal Medicine 119 N 51st St Ste 100, Omaha, NE 68132-2867 2006-08-20
1225142367 Robert J. Anderson Internal Medicine 601 N 30th St Ste 6715, Omaha, NE 68131-2137 2006-08-18
1932191517 Timothy O. Wahl Internal Medicine 7831 Chicago Court, Omaha, NE 68114-3654 2005-08-18
1023320827 Anery A Patel Internal Medicine Emile 42nd St, Omaha, NE 68198-0001 2010-07-08
Find all providers in OMAHA

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City OMAHA
Zip Code 68198

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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