Dr. Edgar A D Mendoza
M.D. | Pediatrics | Male
Dr. Edgar A D Mendoza, M.D. is a Jackson, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Edgar A D Mendoza is
1484 Lakeside Drive, Jackson, Kentucky - 41339-6555. He can be contacted on phone at
606-666-9950 and fax number 606-666-9136.
Dr. Edgar A D Mendoza is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Edgar A D Mendoza is
1891891388 which was assigned by NPPES on 15 Sep, 2006 and it was last updated on 13 Mar, 2020.
Dr. Edgar A D Mendoza license number is
33465 for Pediatrics (208000000X) in Kentucky.
Dr. Edgar A D Mendoza is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Edgar A D Mendoza basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Edgar A D Mendoza |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Edgar A D Mendoza 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 : | 1484 Lakeside Drive
Jackson, KY, 41339-6555
United States |
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| Phone Number : | 606-666-9950 |
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| Fax Number : | 606-666-9136 |
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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 : | 1891891388 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Sep, 2006 |
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| Last Updated On : | 13 Mar, 2020 |
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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. Edgar A D Mendoza are as mentioned. Primary taxonomy code for Dr. Edgar A D Mendoza, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 33465 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Edgar A D Mendoza such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 64343650 | MEDICAID | KY | |
| 1467417691 | Other | KY | MEDICAID FQHC GROUP |
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 690
Beattyville, KY, 41311-0690
United States |
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| Phone Number : | 606-464-0151 |
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| Fax Number : | 606-464-0152 |
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Business Location:
Patients can refer following map for directions to
Dr. Edgar A D Mendoza 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.