DR. MICHAEL VINCENT SANTOTOME MENDOZA (NPI# 1265745491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265745491 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL VINCENT SANTOTOME MENDOZA |
| Credential | M.D |
| Practice Address |
285 Boulevard Ne Ste 415 Atlanta GA 30312-4210 |
| Mailing Address |
285 Boulevard Ne Suite 415 Atlanta GA 30312 |
| Practice Telephone | 4042654400 |
| Practice Fax Number | 4042654452 |
| Mailing Telephone | 4042654400 |
| Mailing Fax Number | 4042654452 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
073365 | GA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
073365 | GA | Allopathic & Osteopathic Physicians |
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
073365 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
285 BOULEVARD NE STE 415 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902894736 | Paul Kevin King | Neurological Surgery | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2005-10-06 |
| 1386118123 | Kari Suzanne Hatfield | Nurse Practitioner | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2019-01-15 |
| 1427578921 | Tanaya Yidin | Physician Assistant | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2017-06-26 |
| 1164869756 | Katherine Mills Lanning | Psychiatry & Neurology | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2013-05-23 |
| 1881981017 | Leigh Ann Beasley | Physician Assistant | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2011-07-08 |
| 1548552011 | Muthu Deepak Vignesh Bhaskaran | Psychiatry & Neurology | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2011-05-03 |
| 1891092383 | Yea-pyng Luo | Physician Assistant | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2011-02-17 |
| 1932361680 | Basheer Ahmed Shakir | Neurological Surgery | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2008-06-25 |
| 1982659371 | Arthur Abraham Grigorian | Specialist | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
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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.