Matthew John Mangus, B.S.
Student in an Organized Health Care Education/Training Program in Zionsville, IN. Individual provider (NPI-1).
Details
- NPI
- 1376426460
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew John Mangus
- Credential
- B.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2025
- Certification date
- Jul 10, 2025
- Last updated
- Jul 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IN | Yes |
Practice location
7654 Bishops GrnZionsville, IN 46077-8561
Phone 317-910-9802
Mailing address
7654 Bishops GrnZionsville, IN 46077-8561
Phone 317-910-9802
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Student in an Organized Health Care Education/Training Program providers in Zionsville · All 711 providers in Zionsville
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