Jennifer Erin Mullendore (NPI# 1912902545, PAC ID# 1658393939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1912902545 |
| PAC ID by PECOS | 1658393939 |
| Professional Enrollment ID | I20051230000032 |
| Full Name | Jennifer Erin Mullendore |
| Organization Legal Name | LASER PODIATRY ASSOCIATES, LLC |
| Address |
182 Thomas Johnson Dr Suite 204 Frederick MD 21702-4557 |
| Phone Number | 3016959669 |
| Gender | F |
| Credential | DPM |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0345409181 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 182 Thomas Johnson Dr, Suite 204, Frederick, MD 21702-4557 | 3016959669 | LASER PODIATRY ASSOCIATES, LLC |
| 1001 Twin Arch Rd, Suite B3, Mount Airy, MD 21771-4138 | 3018295111 | LASER PODIATRY ASSOCIATES, LLC |
| Organization Legal Name | LASER PODIATRY ASSOCIATES, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth J Benjamin | Podiatry | Laser Podiatry Associates, LLC | 182 Thomas Johnson Dr, Suite 204, Frederick, MD 21702-4557 |
| Street Address |
182 THOMAS JOHNSON DR SUITE 204 |
| City | FREDERICK |
| State | MD |
| Zip | 21702-4557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mccamie Dearmon Patterson | Podiatry | Lorna C. Wolfe Dpm Pa | 182 Thomas Johnson Dr, Suite 203, Frederick, MD 21702-4556 |
| Lorna C Wolfe | Podiatry | Lorna C. Wolfe Dpm Pa | 182 Thomas Johnson Dr, Suite 203, Frederick, MD 21702-4556 |
| Sebastian Artur Lipinski | Chiropractic | 182 Thomas Johnson Dr, Suite 201, Frederick, MD 21702-4553 | |
| Kenneth J Benjamin | Podiatry | Laser Podiatry Associates, LLC | 182 Thomas Johnson Dr, Suite 204, Frederick, MD 21702-4557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumudhini Hendrix | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Thomas S Davis | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Debra L Clise | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Lise Ricotta Asaro | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Susan M Allig | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Alan S Bronstein | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Jennifer Lyn Chen | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Dawn Renee Gill | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Allen Gilson | Pulmonary Disease | 6695 Stone Ridge Ct, Frederick, MD 21702-2989 | |
| Gary E Schreiber | Chiropractic | 1446 W Patrick St, Suite 14, Frederick, MD 21702-3277 | |
| Find all physicians in zip 21702 | |||
| City | FREDERICK |
| Zip Code | 21702 |
| Specialty | PODIATRY |
| City + Specialty | FREDERICK + PODIATRY |
Please comment or provide details below to improve the information on Jennifer Erin Mullendore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.