HAROLD LISANDRO MENDOZA MORENO (NPI# 1366879330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366879330 |
| Entity Type | Individual |
| Full Name | HAROLD LISANDRO MENDOZA MORENO |
| Credential | RSA |
| Practice Address |
2381 Lundquist Dr Aurora IL 60503-3635 |
| Mailing Address |
7324 Southwest Fwy Ste 1550 Houston TX 77074-2053 |
| Practice Telephone | 6302580401 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
238.000377 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
238.000377 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2381 LUNDQUIST DR |
| City | AURORA |
| State | IL |
| Zip Code | 60503-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033658224 | Amy Gierden | Nurse's Aide | 1674 Fredericksburg Lane, Aurora, IL 60503 | 2017-02-21 |
| 1063761104 | Melissa Lynn Pugh | Physical Therapist | 2340 S Eola Rd, Aurora, IL 60503 | 2012-09-05 |
| 1477968154 | Charlyne Gauthier | Speech-Language Pathologist | 2236 Wilson Creek Cir, Aurora, IL 60503-3607 | 2014-06-21 |
| 1821303892 | Matilda A. Harding | Clinical Medical Laboratory | 1956 Indian Hill Ln, Aurora, IL 60503-3638 | 2010-08-13 |
| 1699007062 | Thomas Meda Daguinsin IIi | Occupational Therapist | 2912 Lundquist Dr, Aurora, IL 60503-3656 | 2010-02-09 |
| 1992070536 | Jennifer Waters | Dietitian, Registered | 1638 Fredericksburg Ln, Aurora, IL 60503-3674 | 2012-03-15 |
| 1639597446 | Todd Huenecke | Psychologist | 2135 Colonial St, Aurora, IL 60503-4611 | 2014-03-31 |
| 1386113884 | Meghan E Harazin | Developmental Therapist | 2721 Cavalcade Ct, Aurora, IL 60503-4616 | 2018-11-14 |
| 1861727422 | Adrienne Lea Romack | Developmental Therapist | 2700 Cavalcade Ct, Aurora, IL 60503-4617 | 2009-10-14 |
| 1356526487 | Angela Kathleen Walters | Chiropractor | 2333 Roaring Creek Dr, Aurora, IL 60503-4632 | 2008-01-08 |
| Find all providers in zip 60503 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1598185753 | Emmanuel Lobo | Physician Assistant | 857 Vaughn St., Aurora, CO 80011 | 2014-04-25 |
| 1629318472 | Ricardo F Gonzalez | Physician Assistant | 6998 S Riverwood Way, Aurora, CO 80016-2486 | 2013-02-14 |
| 1548538457 | Arapahoe Professional Surgical Assistants | Physician Assistant | 13918 E Mississippi Ave # 474, Aurora, CO 80012-3603 | 2011-12-06 |
| 1225284490 | Arenas Surgical Services | Physician Assistant | 1999 Ione Ln, Aurora, IL 60503-7826 | 2008-08-07 |
| 1689896557 | Mark Brian Hinton | Physician Assistant | 19884 E. Vassar Ave., Aurora, CO 80013 | 2007-05-02 |
| 1649305343 | Colorado Physician Surgical Asst Inc | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-02-22 |
| 1033260963 | Patrick E Byrge | Physician Assistant | 21870 E Briarwood Dr, Suite #1321, Aurora, CO 80016-6034 | 2007-01-16 |
| 1255987772 | Jordan Francesca Macri | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-08-12 |
| 1033606686 | Emily Antoinette Williams | Physician Assistant | 1501 S Potomac St, Aurora, CO 80012-5411 | 2018-04-19 |
| Find all providers in AURORA | ||||
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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.