DAVID MENDONSA (NPI# 1417386475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417386475 |
| Entity Type | Individual |
| Full Name | DAVID MENDONSA |
| Credential | PA-C |
| Practice Address |
15-1697 Tenth Ave Keaau HI 96749 |
| Mailing Address |
Po Box 5484 Hilo HI 96720-8484 |
| Practice Telephone | 8083774734 |
| Mailing Telephone | 8083774734 |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | ATP1392 | HI | Emergency Medical Service Providers |
| Y | 208D00000X | General Practice | AMD621 | HI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
15-1697 TENTH AVE |
| City | KEAAU |
| State | HI |
| Zip Code | 96749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666201 | Paradise Medical Services LLC | General Practice | 15-1697 Tenth Ave, Keaau, HI 96749 | 2019-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326959 | Presence of Mind Inc | Counselor | 15-1942 7th Ave., Keaau, HI 96749 | 2020-11-06 |
| 1700498102 | Thomas Gerard Camenzind | Massage Therapist | 16-426 Brookover Street, Keaau, HI 96749 | 2020-08-18 |
| 1225674542 | Jennifer Archer | Behavior Technician | 16-556 Kea'au Pahoa Rd, 188-111, Kea'au, HI 96749 | 2019-11-21 |
| 1124672712 | Jill Jenkins | Registered Nurse | 15-1680 9th Ave, Keaau, HI 96749 | 2019-07-31 |
| 1467004135 | Evelyn Ramelb | Nursing Home Administrator | 16-1508 35th Ave, Keaau, HI 96749 | 2019-07-12 |
| 1326690157 | Samuel Robert Teare IIi | Behavior Technician | 16-359 Kehaulani St, Keaau, HI 96749 | 2019-07-11 |
| 1942869599 | Tisha Takazawa | Community Health Worker | 16-204 Melekahiwa Place, Suite 3, Keaau, HI 96749 | 2019-06-07 |
| 1154824407 | Kipuka Counseling and Consulting, LLC | Community/Behavioral Health | 15-1463 Awa Ave, Keaau, HI 96749 | 2018-03-13 |
| 1598272536 | Alexander Stitt | Counselor | 15-1963 4th Ave., Keaau, HI 96749 | 2017-12-29 |
| 1164937223 | Rachael Lorraine Hasner | Registered Nurse | 15-1488 Lokelani Ave, Keaau, HI 96749 | 2017-12-11 |
| Find all providers in zip 96749 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666201 | Paradise Medical Services LLC | General Practice | 15-1697 Tenth Ave, Keaau, HI 96749 | 2019-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306864 | Sfmba, LLC | General Practice | 1378 Owaka St, Wailuku, HI 96793-9743 | 2020-11-05 |
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1023517968 | Woundtech of Hawaii, Inc | General Practice | 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 | 2018-02-06 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1164879649 | Patrick Young | General Practice | 400 Hualani St Ste 196, Hilo, HI 96720-4389 | 2016-05-16 |
| 1205216728 | William Garrett Holder Jr. | General Practice | Schofield Barracks Army Health Clinic Glennan Street, Bldg 677, Schofield Barracks, HI 96787 | 2015-06-01 |
| 1487050241 | Coralie A.k. Texeira, M.d. LLC | General Practice | 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707-2232 | 2014-11-06 |
| Find all providers with the same taxonomy | ||||
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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.