JOHN MAHAN
NPI 1902598634
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is John Mahan's NPI number?

The NPI number for John Mahan is 1902598634. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Q: What is John Mahan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for John Mahan was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2023PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5057 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About John Mahan NPPES

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

JOHN MAHAN (NPI 1902598634) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (CLP05918) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902598634

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN MAHAN

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923

Phone(401) 444-5057

Sole ProprietorNo

Enumeration DateMay 22, 2023

NPPES CertifiedMay 22, 2023

✔ NPI 1902598634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · CLP05918

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

593 EDDY ST, Providence, RI 02903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Mahan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.