Individual provider · Type 1 NPI
James R. Mangerson, PA-C
Physician Assistant · Peoria, IL
Practice location
515 NE Glen Oak Ave Ste 202
Peoria, IL 61603-3166
Fax (309) 624-3457
Other practice locations
- 721 American Ave, Suite 510, Waukesha, WI 53188-5071 · (262) 928-5300
- 3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 · (937) 294-3611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 2956 (WI) |
| Physician Assistant | 363A00000X | 50.008880RX (OH) |
| Physician Assistant Primary | 363A00000X | 085010994 (IL) |
Physician Assistant: 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, orde…
3 other providers at this address
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About NPI 1093078446
James R. Mangerson, PA-C's National Provider Identifier is 1093078446, issued on Jun 20, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Jan 27, 2025.