MR. PHILLIP MENDOZA (NPI# 1760681761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760681761 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP MENDOZA |
| Credential | MD |
| Practice Address |
4951 Business Park Blvd Anchorage AK 99503 |
| Mailing Address |
4951 Business Park Blvd Anchorage AK 99503-7174 |
| Practice Telephone | 9077437200 |
| Mailing Telephone | 9077437200 |
| Mailing Fax Number | 9077437241 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50669 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD60167455 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MR-0939 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 128 Market St, Alamosa, CO 811012290 | 7195895161 | 1795895722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245546191 | Phillip Mendoza | Massage Therapist | 1408 Burke Ln, South Elgin, IL 60177-3054 | 2010-08-28 |
| 1699757757 | Phillip Romero Mendoza | Orthotist | 5375 E Erickson Dr, #104, Tucson, AZ 85712-2838 | 2005-11-15 |
| Street Address |
4951 BUSINESS PARK BLVD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475166 | Anchorage Neighborhood Health Center, Inc. | Clinic/Center | 4951 Business Park Blvd, Anchorage, AK 99503 | 2005-05-27 |
| 1508486598 | John Walter Mccall | Pharmacist | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2020-04-20 |
| 1831685528 | Philippa Lindsay Thomas | Counselor | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2018-07-05 |
| 1538676069 | Jaime Spatrisano | Counselor | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2018-01-05 |
| 1184153546 | Jonathan Harrison | Pharmacist | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2017-06-08 |
| 1982145793 | Ellen Sara Warrick | Physician Assistant | 4951 Business Park Blvd, Anchorage, AK 99503 | 2017-03-13 |
| 1619424314 | Tamara Deschaine | Dietitian, Registered | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2016-09-09 |
| 1376991398 | Travis King Weaver | Family Medicine | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2016-05-31 |
| 1407212681 | Leah Ann Besh | Physician Assistant | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2016-01-04 |
| 1457722118 | Deana K Glick | Physician Assistant | 4951 Business Park Blvd, Anchorage, AK 99503 | 2015-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| 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 |
|---|---|---|---|---|
| 1639645021 | Alaska Medical Specialty Group LLC | Family Medicine | 4100 Lake Otis Pkwy Ste 218, Anchorage, AK 99508-5230 | 2018-10-23 |
| 1790278356 | Vanity: Aesthetics, Dermatology & Wellness, LLC | Family Medicine | 431 W 7th Ave Ste 204, Anchorage, AK 99501-3500 | 2018-06-08 |
| 1144677402 | Shadia Sarah Tolliver | Family Medicine | 4001 Dale St Ste 210, Anchorage, AK 99508-5445 | 2016-05-17 |
| 1720466949 | Nicholas A Van Lith | Family Medicine | 3300 Providence Dr Ste B314, Anchorage, AK 99508-4621 | 2015-05-07 |
| 1710390281 | Megan Harman | Family Medicine | 4320 Diplomacy Dr Ste 1191, Anchorage, AK 99508-5925 | 2014-06-03 |
| 1780947143 | Briana Mongini Cranmer | Family Medicine | 1450 Muldoon Rd Ste 100, Anchorage, AK 99504-2820 | 2012-06-20 |
| 1184907107 | Grace Shimotsu | Family Medicine | 7481 Foxridge Way Apt D, Anchorage, AK 99518-2774 | 2011-09-26 |
| 1477844397 | Thomas G Lang Md LLC | Family Medicine | 741 Sesame St Ste 1b, Anchorage, AK 99503-6657 | 2011-04-26 |
| 1114238599 | Erin Royal | Family Medicine | 2841 Debarr Rd Ste 24, Anchorage, AK 99508 | 2010-06-30 |
| 1659691590 | Robin L. Ninefeldt | Family Medicine | 2015 Merrill Field Dr, Anchorage, AK 99501-4137 | 2010-06-02 |
| Find all providers in ANCHORAGE | ||||
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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.