DR. ENRIQUE FLORES MENDOZA (NPI# 1659487999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659487999 |
| Entity Type | Individual |
| Full Name | DR. ENRIQUE FLORES MENDOZA |
| Other Name | ERIC F MENDOZA |
| Credential | MD |
| Practice Address |
305 S State St Aberdeen SD 57401 |
| Practice Telephone | 6056225500 |
| Practice Fax Number | 6056225042 |
| Mailing Telephone | 6056225500 |
| Mailing Fax Number | 6056225042 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
1776 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7201840 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056514 | Enrique Mendoza | Licensed Vocational Nurse | 7590 Frazer Dr, Riverside, CA 92509-5332 | 2007-11-08 |
| 1710121520 | Enrique Mendoza | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2009-04-23 |
| Street Address |
305 S STATE ST |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789543 | Russell C Pietz | Family Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2005-06-09 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1124502646 | Avera St Luke's | Emergency Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2018-09-20 |
| 1689150252 | Kim Susanne Kram | Specialist/Technologist | 305 S State St, Aberdeen, SD 57401-4527 | 2018-07-17 |
| 1144769522 | Gerhard Marx | Social Worker | 305 S State St, Aberdeen, SD 57401-4527 | 2017-02-17 |
| 1851771133 | Susan Gutenkauf | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-06-02 |
| 1538548649 | Melanie C Erickson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-21 |
| 1639557184 | Carrie Ann Werth | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1861870404 | Buckley D Norris | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1285012005 | Jason Stolp | Physical Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780004713 | Avera St Lukes | Radiology | 310 S Penn St, Suite 105, Aberdeen, SD 57401 | 2014-04-17 |
| 1578794715 | Troy Edward Adolfson | Radiology | 620 3rd Ave Se, Aberdeen, SD 57401-4554 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396067948 | Ronald G Drummond | Radiology | 1910 Highwood Road, Rapid City, SD 57701 | 2010-02-24 |
| 1760625768 | Kyle Owen Arneson | Radiology | 1000 E 23rd St Ste 100, Sioux Falls, SD 57105-2114 | 2009-04-07 |
| 1346339777 | Michael E Peterson Md PC | Radiology | 605 N Foster, Mitchell, SD 57301-2902 | 2006-10-12 |
| 1336238757 | Michael E Peterson | Radiology | 1115 W 9th St, Yankton, SD 57078-3310 | 2006-10-12 |
| 1568427144 | Stephen Dick | Radiology | 605 N Foster St, Mitchell, SD 57301-2902 | 2006-04-18 |
| 1457347007 | Daniel Martin Tackett | Radiology | 3751 Skyline Dr, Rapid City, SD 57701-5363 | 2005-09-20 |
| 1962927269 | Avera Queen of Peace | Radiology | 605 N Foster St, Mitchell, SD 57301-2902 | 2017-08-08 |
| 1346529211 | Sanford Clinic | Radiology | 1309 W 17th St, Sioux Falls, SD 57104-4663 | 2011-08-10 |
| 1477847861 | Avera Mckennan | Radiology | 1000 E. 23rd St., Ste. 100, Sioux Falls, SD 57105-2113 | 2011-06-03 |
| 1710270061 | Joel L Grow | Radiology | 1000 E 23rd St Ste 100, Sioux Falls, SD 57105-2114 | 2011-05-19 |
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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.