MS. MARY BETH LENNOX MENDOZA (NPI# 1194786186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194786186 |
| Entity Type | Individual |
| Full Name | MS. MARY BETH LENNOX MENDOZA |
| Other Name | MS. MARY BETH ROGALSKI OR LENNOX |
| Credential | PA-C |
| Practice Address |
410 Malcolm Dr Suite A Westminster MD 21157-6160 |
| Mailing Address |
25 Crossroads Dr Ste 306 Attn: Credentialing Owings Mills MD 21117-5437 |
| Practice Telephone | 4108761633 |
| Practice Fax Number | 4108402100 |
| Mailing Telephone | 4437382872 |
| Mailing Fax Number | 4437382713 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C01911 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE GROUP # | CN6601 | 01 |
| MD | R/R MEDICARE PROVIDER # | 970005976 | 01 |
| MD | R/R MEDICARE PROVIDER # | P00250839 | 01 |
| Street Address |
410 MALCOLM DR SUITE A |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203245 | Scott D. Jerome | Internal Medicine | 410 Malcolm Dr, Ste A, Westminster, MD 21157-6160 | 2005-05-31 |
| 1114196151 | Summit Ambulatory Surgical Center LLC | Clinic/Center | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2008-02-25 |
| 1306021076 | Jordan Elliot Angell | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2007-12-31 |
| 1609880558 | Genine Consagra | Family Medicine | 410 Malcolm Dr, Suite C, Westminster, MD 21157 | 2006-07-28 |
| 1164479507 | Brian M. Levin | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-05-30 |
| 1255390670 | Carroll County Eye Surgery Center, LLC | Clinic/Center | 410 Malcolm Dr, Suite B, Westminster, MD 21157-6160 | 2006-03-23 |
| 1710955133 | Reynaldo P Madrinan | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-03-10 |
| 1336113893 | Keith J Oreilly | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023145174 | Matthew J Vanersvelde | Physician Assistant | 9505 Carr St, Westminster, CO 80021-4352 | 2007-02-27 |
| 1396158192 | Sallie Peters | Physician Assistant | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2014-06-09 |
| 1942548359 | Kathryn Lewis Smith | Physician Assistant | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2013-01-18 |
| 1568796662 | Anela Michelle Collazo | Physician Assistant | 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 | 2009-09-23 |
| 1134130396 | Wendy L Kenner | Physician Assistant | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on MS. MARY BETH LENNOX MENDOZA.
| 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.