DR. ANGEL MENDOZA (NPI# 1194729707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194729707 |
| Entity Type | Individual |
| Full Name | DR. ANGEL MENDOZA |
| Credential | M.D. |
| Practice Address |
1650 County Services Pkwy Marietta GA 30008-4010 |
| Mailing Address |
3930 South Cobb Dr. Suite 200 Smyrna GA 30080 |
| Practice Telephone | 7705142361 |
| Practice Fax Number | 7705142811 |
| Mailing Telephone | 7704385106 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 40485 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00672174A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134625676 | Angel Mendoza | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2018-04-03 |
| Street Address |
1650 COUNTY SERVICES PKWY |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689887663 | Brenda W Wilson | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| 1730173659 | Ann Marie Clark | Marriage & Family Therapist | 224 W Dixie Ave Se, Marietta, GA 30008-2540 | 2005-09-07 |
| 1073098174 | Dina Vanessa Gomez | Behavioral Analyst | 76 W Dixie Ave Se, Marietta, GA 30008-2555 | 2018-09-25 |
| Find all providers in zip 30008 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073168522 | Richard Rhodes | Pediatrics | 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062-1651 | 2019-08-01 |
| 1437718566 | Rahmath Althaf | Pediatrics | 300 Grand Manor Dr, Marietta, GA 30068-3688 | 2019-06-12 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1376075481 | Julia Johnson Lovin | Pediatrics | 1810 Baldwin Farms Dr, Marietta, GA 30068-1556 | 2017-03-28 |
| 1912244484 | Edgar Allen Vaughan Jr. | Pediatrics | 575 Saint Annes Rd Nw, Marietta, GA 30064-1441 | 2013-01-03 |
| 1104125764 | Alison G. Ball | Pediatrics | 1405 Franklin Gtwy Se, Marietta, GA 30067-8721 | 2011-03-22 |
| 1679885230 | Carrie Ann Stinson | Pediatrics | 677 Church St Ne # 100p, Marietta, GA 30060-1101 | 2010-07-11 |
| 1720273782 | Tina M Smith | Pediatrics | 310 E 8th St Ste 130, Marietta, OH 45750-3379 | 2007-09-12 |
| 1295939627 | Maren Elizabeth Bear | Pediatrics | 677 Church St Ne Ste 100p, Marietta, GA 30060 | 2007-06-11 |
| 1831236546 | Elizabeth Gouri Garrot | Pediatrics | 1880 West Oak Pkwy, Suite 101, Marietta, GA 30062 | 2007-01-31 |
| Find all providers in MARIETTA | ||||
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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.