DR. PEDRO G MENDOZA (NPI# 1609825132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609825132 |
| Entity Type | Individual |
| Full Name | DR. PEDRO G MENDOZA |
| Credential | M.D. FCCP |
| Practice Address |
300 W Century Ave Bismarck ND 58503-1401 |
| Practice Telephone | 7013239900 |
| Practice Fax Number | 7013239911 |
| Mailing Telephone | 7013239900 |
| Mailing Fax Number | 7013239911 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
5553 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | MEDICARE SOLO # | N712611 | 01 |
| ND | MEDICIAD GROUP NUMBER | 12293 | 01 |
| ND | 15689 | 05 | |
| ND | BCBS OF ND | 22774 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275903411 | Pedro J Mendoza | Counselor | 3118 Center Point Dr, Ste 3, Edinburg, TX 78539-4804 | 2015-09-30 |
| 1861769598 | Pedro Alberto Mendoza | Registered Nurse | 8557 Research Blvd, Ste 128, Austin, TX 78758-7856 | 2011-11-23 |
| Street Address |
300 W CENTURY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609601 | Amy Dawn Wilkens | Nurse Practitioner | 300 W Century Ave, Bismarck, ND 58503-1405 | 2017-10-06 |
| 1447522206 | Ian L Greybull | Clinic/Center | 300 W Century Ave, Bismarck, ND 58503-1405 | 2012-02-08 |
| 1154505360 | F E K Addo Md PC | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2007-12-24 |
| 1326235631 | Dr. Nicholas Neumann | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2007-10-01 |
| 1760678676 | Pedro G Mendoza Md PC | Clinic/Center | 300 W Century Ave, Bismarck, ND 58503-1401 | 2007-09-25 |
| 1003974163 | Gerry Meier | Physical Medicine & Rehabilitation | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-12-04 |
| 1003989252 | Linda F Gourneau Md PC | Clinic/Center | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-11-16 |
| 1891894747 | Nicholas Neumann | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-09-21 |
| 1770689945 | Kristie L Todd-reisnour | Nurse Practitioner | 300 W Century Ave, Bismarck, ND 58503-1405 | 2006-09-15 |
| 1902911639 | Linda Faye Gourneau | Family Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275696601 | Shaher M Samrah | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-12-18 |
| 1831283936 | Haven R Malish | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-10-03 |
| 1124119078 | James Hughes | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-27 |
| 1891894747 | Nicholas Neumann | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-09-21 |
| 1982703849 | Monica Paulo | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-21 |
| 1497853147 | Andreas Sarrigiannidis | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851602999 | Venkat Kiran Kanchustambham | Internal Medicine | 801, Broadway N, Fargo, ND 58102 | 2010-06-23 |
| 1659462455 | Seema Khosla | Internal Medicine | 4152 30th Ave S, Suite 103b, Fargo, ND 58104-8403 | 2006-09-27 |
| 1437143427 | Adam John Glazier | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2005-09-06 |
| 1235544313 | Oscar Luis Llanos Ulloa | Internal Medicine | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2014-06-26 |
| 1871934083 | Maria Isabel Pino Argumedo | Internal Medicine | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2013-07-16 |
| 1467755165 | Praveen Jinnur | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2010-12-19 |
| 1558677310 | Zulfiqar Ali | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2010-08-30 |
| 1710047600 | Umamaheswara R Mudireddy | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2006-12-11 |
| 1942307723 | Wayne R Breitwieser | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2006-09-20 |
| 1710911185 | Michael S Briggs | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-10 |
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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.