MARCIA ANN MENDENHALL (NPI# 1780680405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780680405 |
Entity Type | Individual |
Full Name | MARCIA ANN MENDENHALL |
Credential | PA |
Practice Address |
1100 Patterson Rd Grand Junction CO 81506-8219 |
Mailing Address |
Po Box 62 Grand Junction CO 81502-0062 |
Practice Telephone | 9702446100 |
Practice Fax Number | 9702551809 |
Mailing Telephone | 9702446100 |
Mailing Fax Number | 9702551809 |
Enumeration Date | 2005-06-27 |
Last Update Date | 2007-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1713 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 39583244 | 05 |
Street Address |
1100 PATTERSON RD |
City | GRAND JUNCTION |
State | CO |
Zip Code | 81506-8219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568670842 | Craig Stagg | Preventive Medicine | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2007-05-18 |
1962616193 | Lori Jill Flaherty | Physical Therapist | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2007-05-09 |
1871520684 | Cynthia M Schmidt | Physical Therapist | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2006-06-27 |
1417903576 | James Robert Harkreader | Nurse Practitioner | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2006-05-26 |
1588659163 | Robert James Mclaughlin | Preventive Medicine | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2005-09-20 |
1285628925 | Rachel L Harrington | Physician Assistant | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2005-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
Find all providers in zip 81506 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
1578548863 | Julie Ann Schwarz | Physician Assistant | 2373 G Rd, Ste 280, Grand Junction, CO 81505-1002 | 2005-12-09 |
1710531827 | Kirsten Boland | Physician Assistant | 1035 Wellington Ave, Grand Junction, CO 81501-8104 | 2019-07-26 |
1053860387 | Ryan Glynn Goodman | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2016-09-28 |
1861844292 | Kyle Delong | Physician Assistant | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2016-07-11 |
1811345473 | Alyson J Weirich | Physician Assistant | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2016-05-24 |
1790144905 | Laura Fox | Physician Assistant | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2016-02-16 |
1598181927 | Melanie Dawne Hoch | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2014-03-10 |
1780952614 | Derek Dennis Diaz | Physician Assistant | 2333 N 6th St, Grand Junction, CO 81501 | 2011-12-06 |
1952685109 | Nathan Scott Cameron | Physician Assistant | 2021 N 12th St, Grand Junction, CO 81501-2980 | 2011-10-06 |
Find all providers in GRAND JUNCTION |
City | GRAND JUNCTION |
Zip Code | 81506 |
Please comment or provide details below to improve the information on MARCIA ANN MENDENHALL.
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.