DR. DARRIN RICHARD MANGIACARNE D.O. NPI 1417148024

NPI Information

NPI: 1417148024
Provider Name: DR. DARRIN RICHARD MANGIACARNE, D.O.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 849-8222
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DR. Darrin Richard Mangiacarne, D.O. is an addiction medicine family medicine in Indianapolis, IN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Darrin Richard Mangiacarne, D.O. NPI is 1417148024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8102 CLEARVISTA PKWY
INDIANAPOLIS, IN
ZIP 46256-661
Phone: (317) 849-8222

The NPI 1417148024 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 8/8/2007 and was last updated on 7/7/2021.

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	207QA0401X	Family Medicine	Addiction Medicine	02004594A	INDIANA	Yes
2	207QA0401X	Family Medicine	Addiction Medicine	21086	MISSISSIPPI	No
3	207QA0401X	Family Medicine	Addiction Medicine	OS014185	PENNSYLVANIA	No
4	207QA0401X	Family Medicine	Addiction Medicine	0102203536	VIRGINIA	No

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: 11/14/2023

NPI Synchronization or Removal

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