SCOTT D MENDZEF (NPI# 1780683979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780683979 |
| Entity Type | Individual |
| Full Name | SCOTT D MENDZEF |
| Credential | NP |
| Practice Address |
5100 W Taft Rd Suite 4j Liverpool NY 13088-3807 |
| Mailing Address |
6221 State Route 31 Suite 104 Cicero NY 13039-8715 |
| Practice Telephone | 3157012170 |
| Practice Fax Number | 3157012186 |
| Mailing Telephone | 3157520141 |
| Mailing Fax Number | 3157520142 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2009-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
301516 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01951688 | 05 |
| Street Address |
5100 W TAFT RD SUITE 4J |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015500 | Jody S Bleier | Internal Medicine | 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 | 2005-06-30 |
| 1528620812 | Colleen Byrnes | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2019-07-08 |
| 1851866727 | Kathryn Quinn Manion | Clinic/Center | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-10-08 |
| 1225514623 | Shannon M Roach | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-07-18 |
| 1497263826 | Kimberly Cleary | Registered Nurse | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2018-01-19 |
| 1184077885 | Maia Czarnecki | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2016-07-18 |
| 1174974216 | Jenna Marie Laskey | Family Medicine | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2016-06-30 |
| 1669838108 | Phitsamai Thatvihane | Nurse Practitioner | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2016-01-14 |
| 1992160188 | Melissa Buttner | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2015-12-15 |
| 1538532940 | Chelsey Brooks | Physician Assistant | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2015-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518021443 | Karen Sue Pulvino | Nurse Practitioner | 3585 Redhead Ter, Liverpool, NY 13090-1083 | 2006-12-22 |
| 1639164346 | Margaret A Donovan | Nurse Practitioner | 7449 Morgan Rd, Liverpool, NY 13090-3973 | 2005-09-19 |
| 1962925495 | Jana Dosztan-reiss, Inc. | Nurse Practitioner | 4800 Bear Rd, Liverpool, NY 13088-4604 | 2017-07-17 |
| 1629125976 | Jana Marie Dosztan-reiss | Nurse Practitioner | 4800 Bear Rd, Liverpool, NY 13088-4604 | 2007-01-05 |
| 1952392656 | Catherine Powell | Nurse Practitioner | 4820 W Taft Rd, Suite 208, Liverpool, NY 13088-2800 | 2005-11-02 |
| 1992791743 | Tina Winter | Nurse Practitioner | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-26 |
| 1538155387 | Dana Zaborowski | Nurse Practitioner | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-26 |
| 1841284064 | Sara L Gleasman-desimone | Nurse Practitioner | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2005-09-02 |
| 1578564548 | Megan C Cross | Nurse Practitioner | 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 | 2005-08-02 |
| 1669470951 | Lauren C Derrick | Nurse Practitioner | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2005-07-11 |
| Find all providers in LIVERPOOL | ||||
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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.