Dr. Mendoza'S Pediatric And Adolscent in Jackson - Adolescent Medicine
Dr. Mendoza'S Pediatric And Adolscent - NPI 1295908101
Dr. Mendoza'S Pediatric And Adolscent is a Adolescent Medicine in Jackson, Kentucky. Dr. Mendoza'S Pediatric And Adolscent practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Dr. Mendoza'S Pediatric And Adolscent is 1295908101. The last update date is 2014-07-10.
Dr. Mendoza'S Pediatric And Adolscent's current location address is Po Box 790, Jackson, Kentucky. You can contact this provider via phone number 6066934800 and fax number 6066934825. The mailing address for Dr. Mendoza'S Pediatric And Adolscent is Po Box 790, Jackson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Mendoza'S Pediatric And Adolscent |
|---|---|
| Address | Po Box 790, Jackson, Kentucky |
| Phone Number | 6066934800 |
| Fax Number | 6066934825 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mendoza Allen Edgar |
| Credentials | MD |
| Telephone Number | 6066934800 |
NPI Number Detail
| NPI Number | 1295908101 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2014-07-10 |
Provider Mailing Address Detail
| Address | Po Box 790 |
|---|---|
| City | Jackson |
| State | Kentucky (KY) |
| Post Code | 413390790 |
| Phone Number | 6066934800 |
| Fax Number | 6066934825 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 33465 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31000979 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dr. Mendoza'S Pediatric And Adolscent by the Centers for Medicare & Medicaid Services?
The Dr. Mendoza'S Pediatric And Adolscent has been assigned the NPI (National Provider Identifier) 1295908101. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dr. Mendoza'S Pediatric And Adolscent is geographically located?
The Dr. Mendoza'S Pediatric And Adolscent is physically situated at the following location: Po Box 790, Jackson, KY, 413390790.
What is Dr. Mendoza'S Pediatric And Adolscent's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dr. Mendoza'S Pediatric And Adolscent's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date did the Dr. Mendoza'S Pediatric And Adolscent receive its 1295908101 assignment from the Centers for Medicare & Medicaid Services?
The Dr. Mendoza'S Pediatric And Adolscent was assigned its 1295908101 by the Centers for Medicare & Medicaid Services on 2008-04-11.
As of what date were the details pertaining to Dr. Mendoza'S Pediatric And Adolscent last refreshed?
The information related to the Dr. Mendoza'S Pediatric And Adolscent, including its address, specialty, and other relevant details, was last updated on 2014-07-10.
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