DR. MAUREEN A BOYLE-MANGANARO MD NPI 1245255934

NPI Information

NPI: 1245255934
Provider Name: DR. MAUREEN A BOYLE-MANGANARO, MD
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
201 RIDGE ST
STE 312
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 396-7880
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DR. Maureen A Boyle-manganaro, MD is an obstetrics obstetrics gynecology in Council Bluffs, IA with 27 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Maureen A Boyle-manganaro, MD NPI is 1245255934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

201 RIDGE ST
STE 312
COUNCIL BLUFFS, IA
ZIP 51503-643
Phone: (712) 396-7880
Fax: (712) 396-7885

The NPI 1245255934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 9/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		28036	NEBRASKA	No
2	207V00000X	Obstetrics & Gynecology		2001005627	MISSOURI	No
3	207VX0000X	Obstetrics & Gynecology	Obstetrics	MD-43345	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100402030B	MEDICAID	KANSAS
2	1245255934	MEDICAID	IOWA
3	414770	OTHER		FIRSTGUARD
4	H43210	MEDICARE UPIN
5	701B168	MEDICARE ID-TYPE UNSPECIFIED
6	10026301600	MEDICAID	NEBRASKA
7	44054528964506V018	OTHER		TRICARE/CHAMPUS
8	29689029	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD
9	47068731777	MEDICAID	NEBRASKA
10	058970059	MEDICARE PIN	IOWA
11	5897653	OTHER		AETNA
12	476709	OTHER		HEALTHLINK
13	075120029	MEDICARE PIN	IOWA
14	10001545401	OTHER		COMMUNITY HEALTH PLAN
15	205363609	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
16	465449	OTHER	MISSOURI	CHILDRENS MERCY FAMILY HEALTH
17	P00036242	OTHER		RAILROAD MEDICARE
18	10026211300	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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