DR. EDWARD MARTIN MENDOZA (NPI# 1699813741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699813741 |
| Entity Type | Individual |
| Full Name | DR. EDWARD MARTIN MENDOZA |
| Credential | MD |
| Practice Address |
3556 Pebble Beach Dr Augusta GA 30907-9520 |
| Practice Telephone | 7068604527 |
| Practice Fax Number | 7068605433 |
| Mailing Telephone | 7068604527 |
| Mailing Fax Number | 7068605433 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101268425 | VA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
016261 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12200 Warwick Blvd Ste 110, Newport News, VA 236012344 | 7575345100 | 7575345395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388763 | Edward Lusung Mendoza | Licensed Vocational Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-02-14 |
| Street Address |
3556 PEBBLE BEACH DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-9520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349103 | Ahmed Babiker | Psychiatry & Neurology | 1130 15th St, Augusta, GA 30912-0004 | 2018-06-07 |
| 1841580685 | Elizabeth Kim Rutkowski | Psychiatry & Neurology | 1120 15th St Neurology Dept, Augusta, GA 30912-2204 | 2011-04-13 |
| 1942590872 | Alexis Bashinski Shaefer | Psychiatry & Neurology | 1210 Roy Rd, Augusta, GA 30909-1812 | 2011-04-12 |
| 1083813398 | Martha Easler Nichols | Psychiatry & Neurology | 2411 Mcdowell St, Augusta, GA 30904-4635 | 2007-07-16 |
| 1053419184 | Augusta Neurology Pa | Psychiatry & Neurology | 55 Middle Street, Suite 1, Augusta, ME 04330 | 2006-09-20 |
| 1821027665 | Ranjit K Sethi Md PC | Psychiatry & Neurology | 820 St Sebastian Way, Suite 5c, Augusta, GA 30901 | 2006-07-02 |
| 1649222712 | Benjamin Bashinski, IIi | Psychiatry & Neurology | 1210 Roy Road, Augusta, GA 30909 | 2006-05-17 |
| 1609850650 | Veena U Jerath | Psychiatry & Neurology | 1228 Augusta West Pkwy, Augusta, GA 30909-1854 | 2005-12-02 |
| 1861482390 | Matthew Christopher Smith | Psychiatry & Neurology | 3623 J Dewey Gray Cir Ste 210, Augusta, GA 30909-6554 | 2005-10-26 |
| 1881692010 | William E Philippi | Psychiatry & Neurology | 820 Saint Sebastian Way Ste 4-a, Augusta, GA 30901-2643 | 2005-07-12 |
| Find all providers in AUGUSTA | ||||
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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.