DR. MARSHALL CORNELL MENDENHALL (NPI# 1396702858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396702858 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL CORNELL MENDENHALL |
| Credential | M.D. |
| Practice Address |
Unit 21414 Box 192 Apo AE 09705-7101 |
| Practice Telephone | 0113265445859 |
| Mailing Telephone | 0113265445859 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01051826A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
UNIT 21414 BOX 192 |
| City | APO |
| State | AE |
| Zip Code | 09705-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881888436 | Cynthia Louise Bell | Clinic/Center | Unit 21414 Box 3530, Apo, AE 09705 | 2007-08-28 |
| 1720283500 | Ermc Uniform Business Office | Clinic/Center | Unit 21414, Box 3530, Apo, AE 09705 | 2007-06-20 |
| 1043385891 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Unit 21420 Box 3530, Apo, AE 09705 | 2006-11-21 |
| 1518036797 | Shape Health Facility | Military/U.S. Coast Guard Pharmacy | Shape Health Facility, Unit 21414, Apo, AE 09705 | 2006-11-06 |
| 1326124686 | Stefan Matthew Kochis | Optometrist | Unit 21414, Shf, Apo, AE 09705 | 2006-10-30 |
| 1669586582 | Michael Rolli | General Practice | Shape Hcf Unit 21414, Box 153, Apo, AE 09705 | 2006-08-18 |
| 1477666071 | Jennifer Frost | Occupational Therapist | Unit 21420 Box3530, Apo, AE 09705 | 2006-08-16 |
| 1225079767 | John Paul Blanchard | Social Worker | Shape Healthcare Facility, Unit 21414 Box 18, Apo, AE 09705 | 2006-06-08 |
| 1184682122 | Maria Teresa Perez | Speech-Language Pathologist | Shf Unit 21414 Box 223, Apo, AE 09705 | 2006-05-01 |
| 1912964230 | United States Army Nurse Corps | Clinic/Center | Shape Hcf Unit 21414 Box 169, Apo, AE 09705 | 2006-04-28 |
| Find all providers in zip 09705 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275054652 | Paul Mark Allred | Family Medicine | Unit 28038 Bld 700, Apo, AE 09112 | 2017-07-06 |
| 1619405859 | Sarah Claire Mccullough | Family Medicine | Unit 7095, Apo, AE 09824-7095 | 2017-06-01 |
| 1528449303 | Jacob Lance Heath | Family Medicine | Cmr 411 Bldg 700 Rm41, Apo, AE 09112 | 2015-06-17 |
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| 1437539228 | Nofisat Almaroof | Family Medicine | Cmr 411 Bldg 260, Apo, AE 09112 | 2015-06-05 |
| 1174903223 | Joseph Henry Chin | Family Medicine | Sgt Shin Woo Kim Clinic, Camp Humphreys, Apo, AP 96251 | 2015-06-04 |
| 1073993549 | Philip Oro | Family Medicine | Psc 2, Unit 3215, Bldg 2114, Room 201, Apo, RAMSTEIN-MIESENBACH 09094 | 2015-06-01 |
| 1841603446 | Andrew Romney | Family Medicine | Unit 5071 374 Mdg, Apo, AP 96328-5071 | 2014-06-11 |
| 1407267180 | Colby Taylor Neville | Family Medicine | David Grant Medical Center, 60 Mdos/sgsl, 101 Bodin Circle - Bldg 777, Apo, AA 94535-1800 | 2014-05-15 |
| Find all providers in APO | ||||
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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.