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Jonathan M Mongold, DO
Family Medicine Physician in Lafayette, Indiana
NPI 1205179553

Jonathan M Mongold is a Family Medicine Physician based in Muncie, IN. Jonathan M Mongold practices in Lafayette, IN and has the professional credentials of DO. The NPI Number for Jonathan M Mongold is 1205179553 and holds a License No. 02005180A (Indiana).

The current practice location address for Jonathan M Mongold is 5177 Mccarty Ln, Lafayette, IN and can be reached out via phone at 765-448-8000.

Location: 5177 Mccarty Ln, Lafayette, IN, 47303-4988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205179553
Provider Name
Jonathan M Mongold
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5177 Mccarty Ln, Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
04/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300005550 05 IN
000001116759 01 IN ANTHEM FAMILY MED PIN
000001106441 01 IN ANTHEM SPORTS MED PIN
000001117320 01 IN ANTHEM URGENT CARE PIN
institution
Provider Business Practice Location Address Details
Address
5177 Mccarty Ln
City
Lafayette
State
Indiana
Zip
47905-8764
Phone Number
765-448-8000
Fax Number
person
Provider Business Mailing Address Details
Address
5177 Mccarty Ln
City
Lafayette
State
Indiana
Zip
47905-8764
Phone Number
765-448-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
02005180A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
207QS0010X
License No.
02005180A (Indiana)
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02005180A (Indiana)
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.
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