MARTIN JOSEPH MANGAN III MD
NPI 1104873108
Family Medicine in Lexington, KY

Active since May 27, 2006
1055 DOVE RUN RD, SUITE 200, LEXINGTON, KY 40502(859) 269-4668(859) 266-5577 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin Joseph Mangan Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN JOSEPH MANGAN III MD (NPI 1104873108) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (32706) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1104873108
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARTIN JOSEPH MANGAN IIICredential: MD
Location Address1055 DOVE RUN RD, SUITE 200Lexington, KY 40502-3536
Mailing Address1055 Dove Run Rd, Suite 200Lexington, KY 40502-3536 · (859) 269-4668 · Fax (859) 266-5577
Fax(859) 266-5577
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 3, 2016
NPI 1104873108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 32706
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1055 DOVE RUN RD, Lexington, KY 40502

Other Identifiers 3

Medicaid64327067KY
Medicare PINK079510KY
Medicare UPINC32159

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1055 DOVE RUN RD
LEXINGTON, KY 40502
Surgery
1055 DOVE RUN RD
LEXINGTON, KY 40502
Physician Assistant (Medical)
1055 DOVE RUN RD
LEXINGTON, KY 40502
Clinic/Center (Urgent Care)
1055 DOVE RUN RD, N/A
LEXINGTON, KY 40502
Internal Medicine
1055 DOVE RUN RD
LEXINGTON, KY 40502
Internal Medicine
1055 DOVE RUN RD
LEXINGTON, KY 40502
Physician Assistant (Medical)
1055 DOVE RUN RD
LEXINGTON, KY 40502
Family Medicine
1055 DOVE RUN RD, SUITE 200
LEXINGTON, KY 40502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Mangan's NPI number?

The NPI number for Martin Mangan is 1104873108. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Martin Mangan located?

Martin Mangan practices at 1055 Dove Run Rd Suite 200, Lexington, KY 40502. The listed phone number is (859) 269-4668.

What is Martin Mangan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Martin Mangan was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.