IndividualActive
Tara Mangum, D.O.
NPI 1932428315 · Neurology with Special Qualifications in Child Neurology Physician · Phoenix, AZ
Provider details
- NPI number
- 1932428315
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 76554 (GA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 006652 (AZ)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016
Phone: (602) 933-0970
Fax: (602) 933-4253
Street-level locationGet directions
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Registry dates
- Enumerated
- 2010-05-24
- Last updated
- 2018-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.