MR. PHILLIP ROMERO MENDOZA (NPI# 1699757757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699757757 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP ROMERO MENDOZA |
| Credential | CO |
| Practice Address |
5375 E Erickson Dr #104 Tucson AZ 85712-2838 |
| Practice Telephone | 5208812312 |
| Practice Fax Number | 5208812315 |
| Mailing Telephone | 5208812312 |
| Mailing Fax Number | 5208812315 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | CO3039 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245546191 | Phillip Mendoza | Massage Therapist | 1408 Burke Ln, South Elgin, IL 60177-3054 | 2010-08-28 |
| 1760681761 | Phillip Mendoza | Family Medicine | 4951 Business Park Blvd, Anchorage, AK 99503 | 2007-07-11 |
| Street Address |
5375 E ERICKSON DR #104 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366570871 | Forrester Treffry Johnson Jr. | Pediatrics | 5375 E Erickson Dr, Ste 103, Tucson, AZ 85712-2838 | 2007-02-28 |
| 1780738427 | Carl F. Diener, Md, PC | Internal Medicine | 5375 E Erickson Dr, Suite 101, Tucson, AZ 85712-2838 | 2007-01-22 |
| 1609943927 | Colleen Marie Shehan-bakewell | Nurse Practitioner | 5375 E Erickson Dr, Suite 103, Tucson, AZ 85712-2838 | 2006-11-30 |
| 1003998063 | Heather Jankowski | Nurse Practitioner | 5375 E Erickson Dr, Suite 103, Tucson, AZ 85712-2838 | 2006-10-19 |
| 1558461152 | Carl F Diener | Internal Medicine | 5375 E Erickson Dr, Suite 101, Tucson, AZ 85712-2838 | 2006-09-23 |
| 1891737359 | Rodrigo G Villar | Hospitalist | 5375 E Erickson Dr, Ste 103, Tucson, AZ 85712-2838 | 2006-06-11 |
| 1558316398 | Devyani Subhash Raval | Pediatrics | 5375 E Erickson Dr, #103, Tucson, AZ 85712-2838 | 2006-05-23 |
| 1407800279 | Abraham N Bressler | Pediatrics | 5375 E Erickson Dr, Suite 103, Tucson, AZ 85712-2838 | 2006-05-19 |
| 1437131588 | Fred Anthony Altamirano | Orthotist | 5375 E Erickson Dr, #104, Tucson, AZ 85712-2838 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326292871 | John B Smiley | Orthotist | 3601 South 6th Av., Va Medical Center, 05-121, Tucson, AZ 85723-0001 | 2008-11-11 |
| 1154575793 | David Davis | Orthotist | Va Medical Center, 05-121, 3601 South Sixth Avenue, Tucson, AZ 85723-0001 | 2008-11-10 |
| 1437131588 | Fred Anthony Altamirano | Orthotist | 5375 E Erickson Dr, #104, Tucson, AZ 85712-2838 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164903894 | Ray Dolberry | Orthotist | 544 E Devon Dr, Gilbert, AZ 85296-3817 | 2018-08-21 |
| 1477050615 | Robert Wayne | Orthotist | 18140 W Purdue Ave, Waddell, AZ 85355-4237 | 2018-04-12 |
| 1396066460 | Jason Leal | Orthotist | 5225 S Highway 95 Ste 7, Fort Mohave, AZ 86426-9111 | 2010-06-11 |
| 1215258389 | Steven R Hall | Orthotist | 2450 E Show Low Lake Rd Ste 2b, Show Low, AZ 85901-7953 | 2010-06-11 |
| 1326363771 | Brandon E Dale | Orthotist | 3540 E Baseline Rd Ste 100, Phoenix, AZ 85042-9628 | 2010-03-29 |
| 1992305890 | Ibrahim Ellithy | Orthotist | 10615 W Thunderbird Blvd Ste D165, Sun City, AZ 85351-3033 | 2020-10-29 |
| 1265904650 | Monarch Prosthetics and Orthotics | Orthotist | 544 E Devon Dr, Gilbert, AZ 85296-3817 | 2018-12-22 |
| 1639601032 | Perry Borland | Orthotist | 4445 N 7th St, Phoenix, AZ 85014-4139 | 2017-04-03 |
| 1447791207 | Stephanie Davis Langdon | Orthotist | 2175 N Alma School Rd, Chandler, AZ 85224-2878 | 2017-03-13 |
| 1922549039 | Kim Fischer | Orthotist | 4045 E Bell Rd, # 119, Phoenix, AZ 85032-2236 | 2017-03-09 |
| Find all providers with the same taxonomy | ||||
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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.