MENDOZA FOOT & ANKLE CENTER PC (NPI# 1053502252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053502252 |
| Entity Type | Organization |
| Organization Name | MENDOZA FOOT & ANKLE CENTER PC |
| Practice Address |
336 Sumner Hall Dr Gallatin TN 37066-3129 |
| Practice Telephone | 6154528899 |
| Mailing Telephone | 6154528899 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | DR. DANIEL MENDOZA (PRESIDENT) |
| Authorized Official Telephone | 6154528899 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM442 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3352215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265941447 | Mendoza Foot & Ankle Center PC | Podiatrist | 3443 Dickerson Pike Ste 500, Nashville, TN 37207-2599 | 2017-09-20 |
| 1891204087 | Mendoza Foot & Ankle Center PC | Podiatrist | 353 New Shackle Island Rd Ste 203a, Hendersonville, TN 37075-2371 | 2017-09-20 |
| Street Address |
336 SUMNER HALL DR |
| City | GALLATIN |
| State | TN |
| Zip Code | 37066-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902883465 | Daniel Mendoza | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2005-12-27 |
| 1790207496 | Reece Nathaniel Rickertsen | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2017-07-13 |
| 1164765798 | Elizabeth Bailey Wakefield | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2013-04-02 |
| 1558336339 | Mark Mendoza | Chiropractor | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748235 | Results-ast Jv, LLC | Physical Therapist | 110 St. Blaise Road, Suite 101, Gallatin, TN 37066 | 2020-10-21 |
| 1306445531 | Results-ast Jv, LLC | Physical Therapist | 132 North Belvedere Dr, Gallatin, TN 37066 | 2020-10-19 |
| 1063065969 | Tennessee Dental Professionals PC | Dentist | 2069 Nashville Pike, Gallatin, TN 37066 | 2019-07-19 |
| 1912478108 | Jason Holland | Psychologist | 106 Public Sq Ste 105, Gallatin, TN 37066 | 2018-12-16 |
| 1619463148 | Perkins Greenlea LLC | Pharmacy | 879 Greenlea Blvd, Suite 101, Gallatin, TN 37066 | 2018-07-09 |
| 1316432792 | Ann Elizabeth Willert | Counselor | 322 Sumner Hall Drive, Gallatin, TN 37066 | 2018-06-27 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1265880470 | Mallory Jane Hackbarth | Dentist | 923 Nashville Pike A, Gallatin, TN 37066 | 2016-05-27 |
| 1124493697 | Jennifer Stroud | Counselor | 273 Big Station Camp Blvd, 30-206, Gallatin, TN 37066 | 2015-12-09 |
| 1982075651 | Lacefield Enterprises, Inc | Speech-Language Pathologist | 1010 Broughton Place, Gallatin, TN 37066 | 2015-10-07 |
| Find all providers in zip 37066 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1164765798 | Elizabeth Bailey Wakefield | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2013-04-02 |
| 1275892945 | Frazier Foot & Ankle | Podiatrist | 555 Hartsville Pike, Gallatin, TN 37066-2400 | 2012-05-15 |
| 1902015019 | Christopher Graham Frazier | Podiatrist | 300 Steam Plant Rd Ste 300, Gallatin, TN 37066-3089 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
| 1790160364 | Mitchell Paul Rider | Podiatrist | Bldg 20 Memorial Ave, Mountain Home, TN 37684-4000 | 2015-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.