RAUL MENDOZA-AYALA (NPI# 1619903218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619903218 |
| Entity Type | Individual |
| Full Name | RAUL MENDOZA-AYALA |
| Other Name | RAUL MENDOZA |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Mailing Address |
2845 Greenbrier Rd Po Box 8900 Green Bay WI 54308-8900 |
| Practice Telephone | 9202888000 |
| Mailing Telephone | 9202888000 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
42580 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34036200 | 05 | |
| MI | 104386082 | 05 | |
| WI | RAILROAD | 290013377 | 01 |
| Street Address |
2845 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1659978872 | Molly Linzmeier | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-10-01 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1700413283 | Michelle Yvonne Degrave | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-25 |
| 1588299697 | Amanda Marie Steinfeldt | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-09 |
| 1659906113 | Kelly Jane Delzer | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-05 |
| 1750915815 | Jennifer Maronek | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-27 |
| 1538792379 | Sierra R Milosch | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-20 |
| 1205473584 | Mackenzie L Zuleger | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-12-05 |
| 1588214860 | Jessica S Thompson | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| 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 |
|---|---|---|---|---|
| 1225317399 | Musab Em T Nusrat | Internal Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2011-08-08 |
| 1033420922 | Suraj Arora | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2010-06-25 |
| 1538356985 | Green Bay Chest and Infectious Diseases Sc | Internal Medicine | 704 S Webster Ave, Suite 102, Green Bay, WI 54301-3528 | 2007-10-01 |
| 1922114768 | James P Gapinski | Internal Medicine | 2845 Greenbrier Rd, #120, Green Bay, WI 54308-8900 | 2006-08-22 |
| 1124044813 | Richard Glen Potts | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-07-14 |
| 1093731382 | Manar Khaled Alshahrouri | Internal Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-14 |
| 1780609073 | John Frederick Andrews | Internal Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-13 |
| 1548223464 | Christian F Maluf | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-04-11 |
| 1316909047 | New Pulmonary & Sleep Associates | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-04-06 |
| 1477525350 | Ramana R Marada | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-02-03 |
| Find all providers in GREEN BAY | ||||
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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.