MARK J MENDESZOON


Address: 150 7th Ave, Suite 200, Chardon, OH 44024-2908
Phone: 4402854999

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM 139660 01
OH MEDICARE RAIL ROAD 480023547 01
OH 0132396 05
OH AETNA 5392066 01

Office Location

Street Address 150 7TH AVE
SUITE 200
City CHARDON
State OH
Zip Code 44024-2908

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CHARDON
Zip Code 44024

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Dataset Information

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.

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