PAUL E MONDOLFI (NPI# 1457379182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457379182 |
| Entity Type | Individual |
| Full Name | PAUL E MONDOLFI |
| Credential | MD |
| Practice Address |
605 E San Antonio #450e Victoria TX 77901 |
| Practice Telephone | 3615801574 |
| Practice Fax Number | 3615703709 |
| Mailing Telephone | 3615801574 |
| Mailing Fax Number | 3615703709 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 1670 | PA | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
1670 | PA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 1670 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 035997801 | 05 | |
| TX | BC/BS# | 837417 | 01 |
| TX | TRAVELERS MEDICARE # | 240005657 | 01 |
| TX | WORKERS COMP # | MDJ9761TX | 01 |
| TX | 089873601 | 05 | |
| TX | BC/BS # | 8DF122 | 01 |
| Street Address |
605 E SAN ANTONIO #450E |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770545873 | Victoria Kidney & Dialysis Associates | Internal Medicine | 605 E San Antonio, Suite 430e, Victoria, TX 77901 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801819560 | Gary S Branfman | Plastic Surgery | 110 Medical Dr, Suite 105, Victoria, TX 77904-3101 | 2006-07-25 |
| 1154347532 | Gary S Branfman, Md,pa | Plastic Surgery | 110 Medical Dr, Suite 105, Victoria, TX 77904-3101 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059063 | Joseph Peter Corkum | Plastic Surgery | 1400 Pressler St Unit 1488, Houston, TX 77030-3722 | 2020-10-06 |
| 1780212829 | Kendall R Roehl Md Pllc | Plastic Surgery | 450 W Medical Center Blvd Ste 202, Webster, TX 77598-4229 | 2020-04-01 |
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1447802798 | Michael Ciaravino, Md Pa | Plastic Surgery | 3700 Buffalo Speedway Ste 850, Houston, TX 77098-3705 | 2019-07-16 |
| 1437617255 | Westlake Dermatology, Pa | Plastic Surgery | 2132 Bissonnet St, Houston, TX 77005-1508 | 2019-03-11 |
| 1528530326 | Peter George Dziewulski | Plastic Surgery | Utmb 301 University Boulevard 6.146 John Sealy Annex, Galveston, TX 77555-0001 | 2018-12-19 |
| 1225504491 | Beleza Surgery Center LLC | Plastic Surgery | 9899 Towne Lake Pkwy Ste 200, Cypress, TX 77433-6838 | 2018-10-15 |
| 1104311901 | Zeynep Deniz Akdeniz Dogan | Plastic Surgery | 1400 Pressler St The University of Texas Md Anderson Ca, Unit 1488, Houston, TX 77030 | 2018-06-25 |
| 1730604992 | Sarah A Frommer Medical Pllc | Plastic Surgery | 11412 Bee Caves Rd Ste 300, Austin, TX 78738-5515 | 2017-08-09 |
| 1992220180 | Johnny U. Franco, Md, Pa | Plastic Surgery | 3445 Executive Center Dr Ste 213, Austin, TX 78731-1743 | 2017-08-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAUL E MONDOLFI.
| 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.