KARLO JOHN LIZARRAGA MENDOZA (NPI# 1891059259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891059259 |
| Entity Type | Individual |
| Full Name | KARLO JOHN LIZARRAGA MENDOZA |
| Credential | MD, MS |
| Practice Address |
919 Westfall Rd., Building C Suite 100 Rochester NY 14618-2692 |
| Mailing Address |
601 Elmwood Ave Box 278984 Rochester NY 14642-0001 |
| Practice Telephone | 5853417500 |
| Practice Fax Number | 5854619078 |
| Mailing Telephone | 5853417500 |
| Mailing Fax Number | 5854619078 |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
296519 | NY | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
296519 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
919 WESTFALL RD., BUILDING C SUITE 100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-2692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| 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 |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1255728143 | Blanca Yvette Valdovinos | Psychiatry & Neurology | 919 Westfall Rd Building C, Suite 100, Rochester, NY 14618-0001 | 2015-04-19 |
| 1881000271 | James Young Shou | Psychiatry & Neurology | 1425 Portland Ave # 220, Rochester, NY 14621-3011 | 2014-07-07 |
| 1316213291 | Christopher Tarolli | Psychiatry & Neurology | 601 Elmwood Ave Box Mind, University of Rochester Medical Ctr, Rochester, NY 14642-0001 | 2012-03-26 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1629233861 | Jacob Dominik | Psychiatry & Neurology | 755 Jefferson Rd, Ste 110, Rochester, NY 14623-3233 | 2008-07-28 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1023138799 | Charles Michel Lavigne | Psychiatry & Neurology | 2180 Clinton Ave S, Rochester, NY 14618 | 2007-03-29 |
| 1861591547 | Michael E Yurcheshen | Psychiatry & Neurology | 2337 S Clinton Ave, Rochester, NY 14618 | 2006-09-21 |
| 1144254913 | Das L Kareti | Psychiatry & Neurology | 963 Oakwood Dr, Rochester, MI 48307-1318 | 2006-07-10 |
| Find all providers in ROCHESTER | ||||
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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.