Michael R Mendola (NPI# 1063618700, PAC ID# 0143305862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1063618700 |
| PAC ID by PECOS | 0143305862 |
| Professional Enrollment ID | I20131023001629 |
| Full Name | Michael R Mendola |
| Organization Legal Name | NEWBERRY COUNTY MEMORIAL HOSPITAL |
| Address |
2669 Kinard St Newberry SC 29108-2911 |
| Phone Number | 8032767570 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2003 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8123927464 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420053 | NEWBERRY COUNTY MEMORIAL HOSPITAL |
| 420048 | KERSHAWHEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2669 Kinard St, Newberry, SC 29108-2911 | 8032767570 | NEWBERRY COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | NEWBERRY COUNTY MEMORIAL HOSPITAL |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Paul Bayuk | General Surgery | Newberry County Memorial Hospital | 1830 Pondfield Rd, A3, Newberry, SC 29108-9522 |
| Keith Edwin Leap Ii | Emergency Medicine | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| John Thompson | Internal Medicine | Newberry County Memorial Hospital | 99 N Mill St, Little Mountain, SC 29075-8788 |
| Stephen Wyatt Orville | Emergency Medicine | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| Mark A Davis | Internal Medicine | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| Alan J Paysinger | Internal Medicine | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| Thomas F Bradberry | Internal Medicine | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| Conrad C Manayan | General Surgery | Newberry County Memorial Hospital | 1830 Pondfield Rd, A1, Newberry, SC 29108-9522 |
| Tramara S Riley | Nurse Practitioner | Newberry County Memorial Hospital | 99 N Mill St, Little Mountain, SC 29075-8788 |
| John W Brown | General Surgery | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| Street Address |
2669 KINARD ST |
| City | NEWBERRY |
| State | SC |
| Zip | 29108-2911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Edwin Leap Ii | Emergency Medicine | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| Kelly J Campbell | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Lauren S Holliday | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 2669 Kinard St, Newberry, SC 29108-2911 |
| James M Caswell | Anesthesiology | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Katherine H Kunkle | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| William Randall Carpenter | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Megan D Page Herring | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Kenneth Raynor Ellington | Anesthesiology | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Jordan O Caglayan | Anesthesiology Assistant | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Kelly Bianca Seab Tetrick | Anesthesiology | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara B Layne | Chiropractic | 2218 Wilson Rd, Newberry, SC 29108-1624 | |
| Allison K Gardner | Chiropractic | 3218 College St, Newberry, SC 29108-1638 | |
| Samuel L Johansen | Optometry | 2433 Wilson Rd, Newberry, SC 29108-1644 | |
| Regina Rouse | Nurse Practitioner | Carolina Healthchoice of Newberry, LLC | 2041 Medical Park Dr, Newberry, SC 29108-2249 |
| Emily S Livingston | Nurse Practitioner | Newberry Internal Medicine LLC | 2033 Medical Park Dr, Newberry, SC 29108-2249 |
| Ithamesia Rodgers | Nurse Practitioner | Carolina Healthchoice of Newberry, LLC | 2041 Medical Park Dr, Newberry, SC 29108-2249 |
| Sabrina T Gonzalez | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Steven A Fiamengo | Anesthesiology | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Gregory Gene Pacentine | Anesthesiology | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Christopher M Ward | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Find all physicians in zip 29108 | |||
| City | NEWBERRY |
| Zip Code | 29108 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NEWBERRY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael R Mendola.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.