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: July 19, 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
800 WASHINGTON ST, BOX 63
BOSTON, MA 02111
Psychiatry & Neurology (Psychosomatic Medicine)
800 WASHINGTON ST, TUFTS MEDICAL CENTER BOX 1007
BOSTON, MA 02111
Pediatrics
800 WASHINGTON ST, DEPT. OF PEDIATRICS
BOSTON, MA 02111
Psychiatry & Neurology (Neurology)
800 WASHINGTON ST, #314
BOSTON, MA 02111
Pathology (Clinical Pathology/Laboratory Medicine)
800 WASHINGTON ST, BOX 115
BOSTON, MA 02111
Nurse Practitioner
800 WASHINGTON ST, GI LIVER GROUP P.C.TUFTS MEDICAL CENTER
BOSTON, MA 02111
Pediatrics (Developmental - Behavioral Pediatrics)
800 WASHINGTON ST, BOX 334
BOSTON, MA 02111
Pediatrics
800 WASHINGTON ST, BOX 286 DEPT. OF PEDIATRICS
BOSTON, MA 02111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982089033, enumerated as an "individual" on July 29, 2015.

The provider is located at 800 WASHINGTON ST BOSTON, MA 02111 and the phone number is (651) 491-6546.

Physician Assistant with taxonomy code 363A00000X.