LILIANA MICHELLE GOMEZ MENDEZ (NPI# 1104184464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104184464 |
| Entity Type | Individual |
| Full Name | LILIANA MICHELLE GOMEZ MENDEZ |
| Credential | M.D. |
| Practice Address |
2150 Herbert Ct Greenville NC 27834 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527444965 |
| Practice Fax Number | 2527444772 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
2018-00341 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 19W24 | 01 |
| NC | 1104184464 | 05 | |
| NC | MEDICARE | NN19490322 | 01 |
| Street Address |
2150 HERBERT CT |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141611 | Maria Janae Henwood-finley | Pediatrics | 2150 Herbert Ct, Ecu Pediatric Specialty Clinic, Greenville, NC 27834-3736 | 2005-08-16 |
| 1033754809 | Laura Eileen Romero | Social Worker | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2019-11-15 |
| 1477101152 | Deverick D Delph | Physician Assistant | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2019-08-27 |
| 1164925442 | Marsha Ruiz | Dietitian, Registered | 2150 Herbert Ct, Greenville, NC 27834 | 2018-03-13 |
| 1952800682 | Arlene Merle | Nurse Practitioner | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2018-02-08 |
| 1316486830 | Kaitlin Hamilton | Physician Assistant | 2150 Herbert Ct, Ecu Physicians Pediatric Endocrinology, Greenville, NC 27834-3736 | 2017-02-16 |
| 1871940239 | Patreece Payne Govea | Social Worker | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2016-05-16 |
| 1942685599 | Julia A Carlson | Dietitian, Registered | 2150 Herbert Ct, Ecu Pediatric Specialty Clinic, Greenville, NC 27834-3736 | 2015-07-24 |
| 1265826960 | Crystal Garman | Social Worker | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2015-03-20 |
| 1497152722 | Donna Gaines Clement | Dietitian, Registered | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2014-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649618380 | Hostensia Mbi Beng | Pediatrics | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2013-06-04 |
| 1104941277 | Scott William Walters | Pediatrics | 200 Patewood Dr, Suite A115, Greenville, SC 29615-3593 | 2007-03-20 |
| 1184773582 | Theodore Matthew Eison | Pediatrics | 200 Patewood Dr Ste A115, Greenville, SC 29615-3547 | 2007-01-09 |
| 1013953272 | Leonard C Hymes | Pediatrics | 2150 Herbert Ct, Ecu Physicians Pediatric Nephrology, Greenville, NC 27834-3736 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013234335 | Katherine Davis Westreich | Pediatrics | 7024 Burnett Womack Bldg Cb 7155, Unc Kidney Center, Chapel Hill, NC 27599-7155 | 2010-04-26 |
| 1063051340 | Novant Medical Group, Inc. | Pediatrics | 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403 | 2020-01-03 |
| 1568027001 | Novant Medical Group, Inc. | Pediatrics | 201 Queens Rd, Charlotte, NC 28204-3217 | 2019-05-09 |
| 1548671902 | Hailey Gavigan | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2014-05-19 |
| 1972923753 | Kiri Wiggins Bagley | Pediatrics | 101 Manning Dr, North Carolina Children's Hospital, Chapel Hill, NC 27514-4220 | 2014-04-21 |
| 1093944407 | Keia R Sanderson | Pediatrics | 7024 Burnett Womack, Cb 7155, Chapel Hill, NC 27599-4619 | 2009-07-07 |
| 1215128459 | Ashton Chen | Pediatrics | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-08-05 |
| 1386851491 | Donald Weaver Jr. | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2007-05-17 |
| 1952437501 | Eileen Tsai Chambers | Pediatrics | 2301 Erwin Rd, Durham, NC 27705-4699 | 2007-02-26 |
| 1922161793 | John Foreman | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
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| City | GREENVILLE |
| Zip Code | 27834 |
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| 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.