SIDNEY MCDONALD MANGRUM PA-C
NPI 1982089033
Physician Assistant in Boston, MA

Active since July 29, 2015
800 WASHINGTON ST, BOSTON, MA 02111(651) 491-6546 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sidney Mcdonald Mangrum Pa-c NPPES

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

SIDNEY MCDONALD MANGRUM PA-C (NPI 1982089033) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA5468) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1982089033
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIDNEY MCDONALD MANGRUMCredential: PA-C
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address800 Washington StBoston, MA 02111-1552 · (651) 491-6546
Sole ProprietorNo
Enumeration DateJuly 29, 2015
Last NPPES UpdateAugust 3, 2015
NPI 1982089033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA5468
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
800 WASHINGTON ST, Boston, MA 02111

Other Names 1

Former Name (1)Sidney Mcdonald

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111

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 Sidney Mangrum's NPI number?

The NPI number for Sidney Mangrum is 1982089033. It was assigned to this individual provider in the NPPES registry on July 29, 2015. The provider is also known as Sidney Mcdonald.

Where is Sidney Mangrum located?

Sidney Mangrum practices at 800 Washington St, Boston, MA 02111. The listed phone number is (651) 491-6546.

What is Sidney Mangrum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Sidney Mangrum was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.