ELIZABETH MENDOLA (NPI# 1629573522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629573522 |
| Entity Type | Individual |
| Full Name | ELIZABETH MENDOLA |
| Credential | MS, ATC, LAT |
| Practice Address |
3201 Old Denton Rd Carrollton TX 75007-3957 |
| Mailing Address |
701 Leora Ln Apt 837 Lewisville TX 75056-3950 |
| Practice Telephone | 9729684900 |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2018-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT5639 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOC CERTIFIED ATHLETIC TRAINER | 2000013779 | 01 | |
| NATIONAL ATHLETIC TRAINERS ASSOCIATION MEMBER | 59927 | 01 |
| Street Address |
3201 OLD DENTON RD |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75007-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508076381 | Rob Sundquist | Specialist/Technologist | 3201 Old Denton Rd, Carrollton, TX 75007-3957 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184106510 | Reshaped Pllc | Family Medicine | 2008 E Hebron Pkwy #114, Carrollton, TX 75007 | 2018-09-01 |
| 1912436353 | Amanda M Nguyen | Pharmacist | 4112 N Josey, Carollton, TX 75007 | 2017-06-08 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1205362928 | Harichandana Vemireddy Dmd Pllc | Clinic/Center | 1000 West Rosemeade Parkway Ste 100, Carrolton, TX 75007 | 2017-05-02 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1538514500 | Rimvin, LLC | Clinic/Center | 2710 N Josey Ln., Suite 301, Carrollton, TX 75007 | 2016-04-27 |
| 1780052985 | Double A Hospice Care Inc | Hospice Care, Community Based | 3712 Old Denton Rd, Ste 120, Carrollton, TX 75007 | 2015-09-04 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| Find all providers in zip 75007 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095164 | Roxana Ventura | Physical Medicine & Rehabilitation | 300 North Loop Ste 300, Houston, TX 77008-2853 | 2020-02-21 |
| 1720625544 | Kelli Knippa | Physical Medicine & Rehabilitation | 4202 44th St, Lubbock, TX 79413-3304 | 2019-12-01 |
| 1770128290 | Misty D Keim | Physical Medicine & Rehabilitation | 502 Dove Creek Dr, Round Rock, TX 78664-5920 | 2019-11-07 |
| 1720550213 | Kate Kautzky | Physical Medicine & Rehabilitation | 11200 Sean Haggerty Dr Apt 8202, El Paso, TX 79934-3390 | 2018-12-20 |
| 1720555212 | Pablo Eduardo Estrada | Physical Medicine & Rehabilitation | 3220 Montana Ave, El Paso, TX 79903-2630 | 2018-11-01 |
| 1750862652 | Heather Mcdonald | Physical Medicine & Rehabilitation | 501 Old Kyle Rd, Wimberley, TX 78676-2815 | 2018-08-28 |
| 1700380763 | Robert W Killebrew | Physical Medicine & Rehabilitation | 4401 Freidrich Ln Ste 302, Austin, TX 78744-1852 | 2018-03-22 |
| 1841701398 | Cortney Charlesworth | Physical Medicine & Rehabilitation | 12840 S Kirkwood Rd Apt 9110, Stafford, TX 77477-3848 | 2017-10-23 |
| 1538687108 | Jocelyn J Smith | Physical Medicine & Rehabilitation | 3220 Amy Donovan Plaza, Apt 10103, Austin, TX 78758 | 2017-09-05 |
| 1962889949 | Yonghoon Lee | Physical Medicine & Rehabilitation | 7200 Cambridge St Ste A10.238, Houston, TX 77030-4202 | 2015-04-29 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 75007 |
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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.