Isabel Mendoza (NPI# 1336286475, PAC ID# 6305095993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336286475 |
| PAC ID by PECOS | 6305095993 |
| Professional Enrollment ID | I20160407001386 |
| Full Name | Isabel Mendoza |
| Organization Legal Name | GENESIS HEALTHCARE, INC. |
| Address |
301 W Main St Lamar SC 29069-7102 |
| Phone Number | 8433958400 |
| Gender | F |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688869696 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
| 420057 | MCLEOD MEDICAL CENTER - DARLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 201 Cashua St, Darlington, SC 29532-3301 | 8433937452 | GENESIS HEALTHCARE, INC. |
| 301 W Main St, Lamar, SC 29069-7102 | 8433958400 | GENESIS HEALTHCARE, INC. |
| Organization Legal Name | GENESIS HEALTHCARE, INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Heaster | Internal Medicine | Genesis Healthcare, Inc. | 211 S Jones Rd B, Olanta, SC 29114-9705 |
| Brent J Baroody | Obstetrics/gynecology | Genesis Healthcare, Inc. | 1523 Heritage Ln, Florence, SC 29505-3197 |
| Luis R Vega | Family Medicine | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
| James Daniel Mcinnis | Family Medicine | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
| Peter Pius Okelly | Urology | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
| Michael W Barrett | Family Medicine | Genesis Healthcare, Inc. | 301 W Main St, Lamar, SC 29069-7102 |
| Priscilla L Welch | Family Medicine | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
| Elizabeth H Jeffords | Psychiatry | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
| Alexander H Cohen | Family Medicine | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
| Alice D Caldwell | Nurse Practitioner | Genesis Healthcare, Inc. | 211 S Jones Rd B, Olanta, SC 29114-9705 |
| Street Address |
301 W MAIN ST |
| City | LAMAR |
| State | SC |
| Zip | 29069-7102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla S Hamand | Clinical Social Worker | 301 W Main St, Kasson, MN 55944-1139 | |
| Ashlin Underwood | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Melissa Dawn Holton | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kathi A Harper | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Michael W Barrett | Family Medicine | Genesis Healthcare, Inc. | 301 W Main St, Lamar, SC 29069-7102 |
| Julie Simpson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kristine L Braker | Nurse Practitioner | Prairie Ridge Health Inc. | 301 W Main St, Marshall, WI 53559-9129 |
| Jill Paulette Smith | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Shelley Neblett | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Haley L Kincannon | Optometry | Insight Eyecare Jenks Pllc | 301 W Main St, Jenks, OK 74037-3746 |
| Find all physicians in the same address | |||
| City | LAMAR |
| Zip Code | 29069 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAMAR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Isabel Mendoza.
| 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.