CLYDE C MENDONCA (NPI# 1710919246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710919246 |
| Entity Type | Individual |
| Full Name | CLYDE C MENDONCA |
| Credential | MD |
| Practice Address |
2141 E Warner Rd Suite 101 Tempe AZ 85284-3493 |
| Mailing Address |
2149 E Warner Rd Suite 101 Tempe AZ 85284-3494 |
| Practice Telephone | 4809698714 |
| Practice Fax Number | 4804640189 |
| Mailing Telephone | 4806106100 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 229265 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
40391 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 347927 | 05 |
| Street Address |
2141 E WARNER RD SUITE 101 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85284-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305896 | Bhupinder Singh | Internal Medicine | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2005-09-08 |
| 1699286997 | Cara Slater | Naturopath | 2141 E Warner Rd, Tempe, AZ 85284-3493 | 2017-10-13 |
| 1134465008 | Carrie Marie Mattie | Nurse Practitioner | 2141 E Warner Rd, Tempe, AZ 85284-3493 | 2012-12-21 |
| 1073777819 | David Cho | Internal Medicine | 2141 E Warner Rd, Tempe, AZ 85284-3493 | 2008-07-10 |
| 1174659718 | Janet R San George | Nurse Practitioner | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2007-02-26 |
| 1831252469 | Theodore Tzeremas | Internal Medicine | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2006-12-18 |
| 1093875346 | Michelle Wan Yee Lau | Internal Medicine | 2141 E Warner Rd, Tempe, AZ 85284-3493 | 2006-12-09 |
| 1902904394 | Lori J Cooper | Nurse Practitioner | 2141 E Warner Rd, Ste. 101, Tempe, AZ 85284-3493 | 2006-09-20 |
| 1346277688 | Leah C Beaird | Dietitian, Registered | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2006-06-26 |
| 1659316008 | Southwest Kidney Institute, Plc | Internal Medicine | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
| 1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
| 1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
| 1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
| Find all providers in zip 85284 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134426893 | Southwest Kidney Institute Vascular Center LLC | Internal Medicine | 1100 E University Dr, Tempe, AZ 85281-8401 | 2011-02-16 |
| 1942504683 | Kariappa Appachu | Internal Medicine | 2149 E Warner Rd Ste 101, Tempe, AZ 85284-3495 | 2011-01-10 |
| 1316148653 | Firas Marayati | Internal Medicine | 2141 E Warner Rd Ste 101, Tempe, AZ 85284-3493 | 2007-05-31 |
| 1447299474 | Pradeep Mehra | Internal Medicine | 2141 E. Warner Road, Suite 101, Tempe, AZ 85284 | 2006-06-05 |
| 1144274861 | Shailesh J Patel | Internal Medicine | 2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495 | 2006-05-19 |
| 1053305896 | Bhupinder Singh | Internal Medicine | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2005-09-08 |
| 1588914345 | Ranjeet Singh | Internal Medicine | 2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495 | 2012-09-19 |
| 1831252469 | Theodore Tzeremas | Internal Medicine | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2006-12-18 |
| 1497783971 | Edward Y Park | Internal Medicine | 2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495 | 2006-06-30 |
| 1659316008 | Southwest Kidney Institute, Plc | Internal Medicine | 2141 E Warner Rd, Suite 101, Tempe, AZ 85284-3493 | 2006-06-19 |
| Find all providers in TEMPE | ||||
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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.