DR. MARCO MENDOZA (NPI# 1255627964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255627964 |
Entity Type | Individual |
Full Name | DR. MARCO MENDOZA |
Credential | M.D. |
Practice Address |
973 Mica Dr Suite 201 Carson City NV 89705-7255 |
Practice Telephone | 7757836190 |
Mailing Telephone | (775) 783-6190 |
Enumeration Date | 2011-06-21 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | A149150 | CA | Allopathic & Osteopathic Physicians |
Y | 207X00000X | Orthopaedic Surgery | 17066 | NV | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 2016-00148 | NC | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 125059818 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NC2672 | 05 | |
NC | 1255627964 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1139 3rd St, South Lake Tahoe, CA 961503465 | 7757836190 |
Street Address |
973 MICA DR SUITE 201 |
City | CARSON CITY |
State | NV |
Zip Code | 89705-7255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154323277 | Joseph Patrick Walls | Orthopaedic Surgery | 973 Mica Dr, Ste 201, Carson City, NV 89705-7255 | 2005-06-01 |
1922456110 | Conor White | Physical Therapist | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2016-05-27 |
1891179065 | Joseph William Benton IIi | Nurse Practitioner | 973 Mica Dr, Carson City, NV 89705-7255 | 2015-07-16 |
1437572864 | Peter N Costa, Md, Ltd | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7258 | 2014-01-21 |
1710311626 | Robin Y Tomita, M.d. | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2013-08-27 |
1801193883 | Nicholas J Dirig | Orthopaedic Surgery | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2011-02-28 |
1629394663 | Randall L Goode Md PC | Pain Medicine | 973 Mica Dr, Carson City, NV 89705-7255 | 2010-04-15 |
1386970614 | Star Ray Chenoweth | Physician Assistant | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2009-10-21 |
1316193287 | Candace Camelon | Nurse Practitioner | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2008-08-12 |
1205098001 | Tahoe Fracture and Orthopedic Medical Clinic, Inc | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2008-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366642423 | Melinda Kaye Hoskins | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2007-07-18 |
1396897849 | Ronald Winkelman | Optometrist | 3370 N. Hwy 395 South, Carson City, NV 89705 | 2007-01-17 |
1821155300 | Huyen Mong Nguyen | Optometrist | 911 Topsy Ln Ste 236, Carson City, NV 89705 | 2007-01-03 |
1013018241 | Timothy R. Stoll Dds LLC | Dentist | 1625 Hwy 88, Suite 201, Minden, NV 89705 | 2006-09-26 |
1720198344 | Costco Wholesale Corporation | Pharmacy | 700 Old Clear Creek Rd, Carson City, NV 89705 | 2006-08-30 |
1821089376 | Kelly A Roetman | Registered Nurse | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2005-11-03 |
1083145809 | Ashten Howard | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2017-03-23 |
1881068518 | Emma Bacharach | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2015-11-18 |
1770845885 | Melinda Hoskins Cnm, Ltd | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2012-06-13 |
1437418811 | Daniel James Cepela | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2012-05-06 |
Find all providers in zip 89705 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225000110 | Allen Myron Schnaser | Orthopaedic Surgery | 907 Spencer St, Carson City, NV 89703-5422 | 2006-02-03 |
1861488082 | John Clemens Putz | Orthopaedic Surgery | 423 E Main St, Carson City, MI 48811-9741 | 2005-09-22 |
1821099094 | Richard D Long | Orthopaedic Surgery | 1000 N Division St, Ste 100, Carson City, NV 89703-3929 | 2005-08-09 |
1154323277 | Joseph Patrick Walls | Orthopaedic Surgery | 973 Mica Dr, Ste 201, Carson City, NV 89705-7255 | 2005-06-01 |
1699018374 | Halki Orthopedics Ltd | Orthopaedic Surgery | 1000 N Division St, Suite 100, Carson City, NV 89703-3976 | 2013-04-01 |
1437418811 | Daniel James Cepela | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2012-05-06 |
1578858858 | Rueben Nair | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2011-06-14 |
1801193883 | Nicholas J Dirig | Orthopaedic Surgery | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2011-02-28 |
1447449442 | Richard D Long Md Inc | Orthopaedic Surgery | 1000 N Division St, Ste 100, Carson City, NV 89703-3929 | 2007-10-16 |
1396969283 | Adam Z Cote | Orthopaedic Surgery | 423 E Main St, Carson City, MI 48811-9741 | 2007-04-12 |
Find all providers in CARSON CITY |
City | CARSON CITY |
Zip Code | 89705 |
Please comment or provide details below to improve the information on DR. MARCO 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.