LEONARDO MENDEZ MD PC (NPI# 1104120351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104120351 |
Entity Type | Organization |
Organization Name | LEONARDO MENDEZ MD PC |
Practice Address |
1635 N George Mason Dr Suite 470 Arlington VA 22205-3601 |
Practice Telephone | 7035229090 |
Practice Fax Number | 7035229096 |
Mailing Telephone | 7035229090 |
Mailing Fax Number | 7035229096 |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |
Authorized Official Name | DR. LEONARDO MENDEZ (PRESIDENT) |
Authorized Official Telephone | 7035229090 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0101052239 | VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 6060609 | 05 |
Street Address |
1635 N GEORGE MASON DR SUITE 470 |
City | ARLINGTON |
State | VA |
Zip Code | 22205-3601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144214222 | Infectious Diseases & Medical Associates | Internal Medicine | 1635 N George Mason Dr, Suite 180, Arlington, VA 22205-3601 | 2005-09-06 |
1972018380 | Stephanie A Monahan | Registered Nurse | 1635 N George Mason Dr, 1n - Ssu, Arlington, VA 22205 | 2017-12-07 |
1487189247 | Arlington Medical Group P C | Clinic/Center | 1635 N George Mason Dr, Suite 480, Arlington, VA 22205-3601 | 2017-04-28 |
1093253213 | Emily Harmon | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2017-02-08 |
1740728062 | Caroline Ba, P.C. | Psychologist | 1635 N George Mason Dr, Suite 185, Arlington, VA 22205-3601 | 2017-02-07 |
1972046621 | Arlington Alexandria Endodontics, Pllc | Dentist | 1635 N George Mason Dr, Suite 140, Arlington, VA 22205-3601 | 2016-11-29 |
1689127797 | Thomas N Jacob Md PC | Psychiatry & Neurology | 1635 N George Mason Dr, Ste 240, Arlington, VA 22205-3601 | 2016-07-26 |
1043668957 | Matthew Rossman | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2016-06-01 |
1487030136 | Brian Koziol | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2015-08-05 |
1508273426 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1635 N George Mason Dr, Ste 115, Arlington, VA 22205-3601 | 2014-07-14 |
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1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
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Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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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.