Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN M MONGOLD, D.O.
ActiveJONATHAN M MONGOLD, D.O. is a Family Medicine healthcare provider located in LAFAYETTE, Indiana. NPI 1205179553 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAFAYETTE, IN
Registration Details
- NPI Number
- 1205179553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2013 (13.408798557908 yrs)
- Last Updated
- Jan 27, 2021
- Licenses
-
02005180A (IN)02005180A (IN)02005180A (IN)
Practice Information
- Address
-
5177 MCCARTY LNLAFAYETTE, IN, 479058764Browse IN providers · Browse ZIP 47905
- Phone
- 7654488000
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JERRY M WEIDA | MD | 1821083288 |
| DR. CLIFFORD J SONDGERATH | MD | 1699760066 |
| WANDA LEATHERMAN ESTEP | M.D. | 1386632644 |
| PHILIP E KELLER | MD | 1972585131 |
| TAMARA LOEWEN HAZBUN | MD | 1568448876 |
| DR. JEFFREY WILLIAMS | D.O. | 1780661074 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.