KENNETH M MONDAL


Address: 510 S Cowley St, Spokane, WA 99202-1332
Phone: 5098382531

KENNETH M MONDAL (NPI# 1255324521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255324521
Entity Type Individual
Full Name KENNETH M MONDAL
Credential MD
Practice Address 510 S Cowley St
Spokane
WA 99202-1332
Mailing Address Po Box 3649
Spokane
WA 99220-3649
Practice Telephone 5098382531
Enumeration Date 2005-08-23
Last Update Date 2008-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology MD00029803 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8138638 05

Office Location

Street Address 510 S COWLEY ST
City SPOKANE
State WA
Zip Code 99202-1332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558363911 Cynthia L Cilyo Ophthalmology 510 S Cowley St, Spokane, WA 99202-1332 2005-08-15
1437798568 Chesnut Md Dermatology 510 S Cowley St, Spokane, WA 99202-1332 2020-01-06
1063935286 Chesnut Institute of Cosmetic & Reconstructive Surgery Dermatology 510 S Cowley St, Spokane, WA 99202-1332 2017-07-19
1639565872 Lindsey Goddard Dermatology 510 S Cowley St, Spokane, WA 99202-1332 2015-04-14
1932508645 Rockwood Clinic Ps Eyewear Supplier (Equipment, not the service) 510 S Cowley St, Spokane, WA 99202-1332 2014-08-19
1366704959 Mark William Nevers Optometrist 510 S Cowley St, Spokane, WA 99202-1332 2012-06-11
1699065052 Robert Udell Glazier Jr. Ophthalmology 510 S Cowley St, Spokane, WA 99202-1332 2011-04-19
1457659047 Heidi Waldburga Eiseman Ophthalmology 510 S Cowley St, Spokane, WA 99202-1332 2011-03-04
1811206998 Kenneth Absalonson Optometrist 510 S Cowley St, Spokane, WA 99202-1332 2010-10-06
1639480692 Christopher Kenneth Yang Internal Medicine 510 S Cowley St, Spokane, WA 99202-1332 2010-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669099552 Morgan Physiotherapy, Pllc Physical Therapist 716 South Arthur Street, Spokane, WA 99202 2020-06-26
1659926863 Hiliary Beatty Marriage & Family Therapist 3101 E Boone Avenue, Spokane, WA 99202 2019-08-05
1992359301 Jennifer Pelzel Pharmacist Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 2019-07-25
1750858171 Elyse M Tullar Counselor 3101 E Boone Ave, Spokane, WA 99202 2018-10-24
1952830333 Kaleb E Walker Case Manager/Care Coordinator 1002 N Superior, Spokane, WA 99202 2017-06-08
1659823987 Laura Lenoue Chiropractor 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 2016-11-03
1376095141 Clinton George Ralph Counselor 624 S Cowley, Spokane, WA 99202 2016-10-27
1144772245 Megan Nicole Korst Counselor 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 2016-10-25
1043766652 Moffitt Children's Dentistry Dentist 520 S Cowley St Ste 101, Spokane, WA 99202 2016-09-01
1881147296 Natalie Stine Dietitian, Registered 203 E Spague Avenue, Spokane, WA 99202 2016-08-02
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437429313 Ottiwell Wood Jones IIi Ophthalmology 202 E High Dr, Spokane, WA 99203-2811 2012-01-09
1053637702 Northwest Eyelid and Orbital Specialists, P.s. Ophthalmology 626 S Sheridan St, Spokane, WA 99202-1325 2010-04-20
1811191372 Jonathan G Haymore Ophthalmology 842 S. Cowley Street, Suite 1, 2, 3, Spokane, WA 99202 2007-06-11
1841405404 Kevin Scott Michels Ophthalmology 626 S. Sheridan St, Spokane, WA 99202-1234 2007-05-14
1386712008 David Nemser Cohen Ophthalmology 235 E Rowan Ste #107, Spokane, WA 99207-1240 2006-12-01
1982773313 Eye Consultants Ps Ophthalmology 235 E Rowan, Suite #107, Spokane, WA 99207-1240 2006-11-07
1821075516 Michael H Cunningham Sr. Ophthalmology 842 S Cowley St, Suite 1, 2, 3, Spokane, WA 99202-1234 2005-12-23
1265413769 Gary Lee Fillmore Ophthalmology 9911 N Nevada St Ste B, Spokane, WA 99218 2005-11-10
1558363911 Cynthia L Cilyo Ophthalmology 510 S Cowley St, Spokane, WA 99202-1332 2005-08-15
1538160437 Leachman Eye Institute, P.s. Ophthalmology 6419 N Monroe St, Spokane, WA 99208-4121 2005-08-02
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Competitor

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City SPOKANE
Zip Code 99202

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Dataset Information

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.

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