MR. JEROMY RON MENDENHALL (NPI# 1881858280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881858280 |
| Entity Type | Individual |
| Full Name | MR. JEROMY RON MENDENHALL |
| Credential | PA |
| Practice Address |
1301 Bertha Howe Ave Suite 1 Mesquite NV 89027-7502 |
| Mailing Address |
3175 Saint Rose Pkwy 320 Henderson NV 89052-3508 |
| Practice Telephone | 4356289393 |
| Practice Fax Number | 4356289382 |
| Mailing Telephone | 7029979844 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2015-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
7106674-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1131 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1301 BERTHA HOWE AVE SUITE 1 |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342364 | Michael Justin Gorman | Family Medicine | 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 | 2005-08-02 |
| 1851767115 | John Vincent Rider | Occupational Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2015-08-20 |
| 1902298243 | Aumbria Health and Aesthetics LLC | Internal Medicine | 1301 Bertha Howe Ave, Ste# 2, Mesquite, NV 89027-7502 | 2015-02-24 |
| 1750782736 | Brenda Sue Siolo | Nurse Practitioner | 1301 Bertha Howe Ave, Ste.1, Mesquite, NV 89027-7502 | 2014-09-10 |
| 1083900716 | Curtis Doug Jensen | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2011-06-21 |
| 1801117239 | Matthew Tameichi Holt | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027 | 2010-06-21 |
| 1659695203 | Tracy Lynn Rodgers | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1669796314 | Erica Ann Garrett | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1124355243 | Advanced Wound Care Consultants LLC | Registered Nurse | 1301 Bertha Howe Ave, Suite 9, Mesquite, NV 89027-7502 | 2009-11-10 |
| 1467787192 | Alfaro Ltd | Specialist | 1301 Bertha Howe Ave, Suite 8, Mesquite, NV 89027-7502 | 2009-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1942717301 | Preferred Surgical Associates of Texas | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149-2634 | 2018-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
| 1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
| 1598148538 | Filbert John Aquino | Physician Assistant | 921 Twilight Peak Ave., Suite 110, Henderson, NV 89012-3187 | 2015-07-08 |
| 1275923278 | Bradley Ryan Duncan | Physician Assistant | 645 Angela St, Fernley, NV 89408-8321 | 2015-01-28 |
| 1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
| 1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
| 1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
| 1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JEROMY RON MENDENHALL.
| 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.