Dr. Mendoza's Pediatric And Adolscent
Pediatric Adolescent Medicine
Dr. Mendoza's Pediatric And Adolscent is a Jackson, Kentucky based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
424 Jett Dr, Jackson, Kentucky - 41339-9621. They can be contacted on phone at
606-693-4800 and fax number 606-693-4825.
NPI number (Unique professional ID) for Dr. Mendoza's Pediatric And Adolscent is
1295908101 which was assigned by NPPES on 11 Apr, 2008 and it was last updated on 10 Jul, 2014.
Dr. Mendoza's Pediatric And Adolscent license number is
33465 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
Dr. Mendoza's Pediatric And Adolscent specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Mendoza's Pediatric And Adolscent basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Mendoza's Pediatric And Adolscent |
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Business Address:
Dr. Mendoza's Pediatric And Adolscent address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 424 Jett Dr
Jackson, KY, 41339-9621
United States |
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| Phone Number : | 606-693-4800 |
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| Fax Number : | 606-693-4825 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295908101 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 11 Apr, 2008 |
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| Last Updated On : | 10 Jul, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Edgarallen Mendoza |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 606-693-4800 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mendoza's Pediatric And Adolscent are as mentioned. Primary taxonomy code for Dr. Mendoza's Pediatric And Adolscent is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 33465 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mendoza's Pediatric And Adolscent such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 31000979 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 790
Jackson, KY, 41339-0790
United States |
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| Phone Number : | 606-693-4800 |
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| Fax Number : | 606-693-4825 |
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Business Location:
Patients can refer following map for directions to
Dr. Mendoza's Pediatric And Adolscent practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.