Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mansour Mohamed Issam Mansour, DO

Individual provider Emergency Medicine Physician · NPI 1366002735

Mansour Mohamed Issam Mansour, DO is an Emergency Medicine in Taylor, Michigan. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2019, 7 years ago. Practices with Mercy Emergency Care Services Inc, a 64-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MI, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone: (313) 295-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 — (419) 442-1707
  • 2600 Navarre Ave, Oregon, OH 43616-3207 — (419) 696-7411
  • 3404 W Sylvania Ave, Toledo, OH 43623-4467 — (419) 407-2663

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5151014003 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 34.016312 (OH)

Record details

NPI number1366002735
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2019 (7 years in practice)
Group practice Mercy Emergency Care Services Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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