MARK J MENDESZOON (NPI# 1356328538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356328538 |
Entity Type | Individual |
Full Name | MARK J MENDESZOON |
Credential | D.P.M. |
Practice Address |
150 7th Ave Suite 200 Chardon OH 44024-2908 |
Practice Telephone | 4402854999 |
Practice Fax Number | 4402854996 |
Mailing Telephone | 4402854999 |
Mailing Fax Number | 4402854996 |
Enumeration Date | 2005-12-28 |
Last Update Date | 2013-09-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.002895 | OH | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM | 139660 | 01 |
OH | MEDICARE RAIL ROAD | 480023547 | 01 |
OH | 0132396 | 05 | |
OH | AETNA | 5392066 | 01 |
Street Address |
150 7TH AVE SUITE 200 |
City | CHARDON |
State | OH |
Zip Code | 44024-2908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073505806 | Kraig K Solak | Orthopaedic Surgery | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2005-08-18 |
1467615047 | Albert S Dunn | Orthopaedic Surgery | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2008-07-03 |
1306024906 | Benjamin Joseph Deszczykiewicz | Physical Therapist | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2008-02-06 |
1073713400 | Ophthalmology and Oculoplastic Surgery, Inc. | Optometrist | 150 7th Ave, Suite 100, Chardon, OH 44024-2908 | 2007-07-24 |
1255530887 | Colleen Ann Dumm | Physical Therapist | 150 7th Ave, Chardon, OH 44024-2908 | 2007-07-13 |
1336221332 | Tunde A Ilkanich | Occupational Therapist | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2006-10-19 |
1518048396 | University Primary Care Practices Inc. | Prosthetic/Orthotic Supplier | 150 7th Ave, Chardon, OH 44024-2908 | 2006-10-18 |
1235238825 | Dawn M Barkan | Optometrist | 150 7th Ave, Suite 100, Chardon, OH 44024-2908 | 2006-09-21 |
1235158791 | Patrick W Starkey | Physical Therapist | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2006-07-18 |
1437193828 | Augustine J. Kellis | Ophthalmology | 150 7th Ave, Suite 100, Chardon, OH 44024-2908 | 2006-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
Find all providers in zip 44024 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417157082 | Jacquelyn Lee Quercioli | Podiatrist | 11850 Mayfield Rd Ste 2, Chardon, OH 44024-8371 | 2007-07-23 |
1578568093 | Jeffery Wieland | Podiatrist | 325 Center St, Ste 1, Chardon, OH 44024 | 2005-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
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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.