Jeron Mendoza (NPI# 1194105924, PAC ID# 7810206174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1194105924 |
| PAC ID by PECOS | 7810206174 |
| Professional Enrollment ID | I20151027003149 |
| Full Name | Jeron Mendoza |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
6201 Centreville Rd Suite 100 Centreville VA 20121-2626 |
| Phone Number | 7032639600 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6201 Centreville Rd, Suite 100, Centreville, VA 20121-2626 | 7032639600 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Street Address |
6201 CENTREVILLE RD SUITE 100 |
| City | CENTREVILLE |
| State | VA |
| Zip | 20121-2626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Lynn Porter | Family Medicine | Inova Health Care Services | 6201 Centreville Rd, Suite 200, Centreville, VA 20121-2626 |
| Denise Diver-laver | Occupational Therapy | Town Center Orthopaedic Associates P C | 6201 Centreville Rd, Suite 600, Centreville, VA 20121-2634 |
| Jennifer S Choi-blanco | Internal Medicine | Inova Health Care Services | 6201 Centreville Rd, Suite 200, Centreville, VA 20121-2626 |
| Sally Hayes | Family Medicine | Inova Health Care Services | 6201 Centreville Rd, Suite 200, Centreville, VA 20121-2626 |
| Angela Kari Brown | Nurse Practitioner | Inova Health Care Services | 6201 Centreville Rd, Suite 200, Centreville, VA 20121-2626 |
| Ashwini K Sardana | Emergency Medicine | Inova Health Care Services | 6201 Centreville Rd, Suite 200, Centreville, VA 20121-2626 |
| Jeffrey Howard Berg | Orthopedic Surgery | Town Center Orthopaedic Associates P C | 6201 Centreville Rd, Suite 600, Centreville, VA 20121-2634 |
| Afshin Javan | Emergency Medicine | Inova Health Care Services | 6201 Centreville Rd, Suite 200, Centreville, VA 20121-2626 |
| April M Cournoyer | Physician Assistant | Town Center Orthopaedic Associates P C | 6201 Centreville Rd, Suite 600, Centreville, VA 20121-2634 |
| Michelle M Paul | Nurse Practitioner | Inova Health Care Services | 6201 Centreville Rd, Suite 200, Centreville, VA 20121-2626 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neda Hashemi | Obstetrics/gynecology | Neda Hashemi Md PC | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2135 |
| Samar Benhusen Merriman | Obstetrics/gynecology | Neda Hashemi Md PC | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2135 |
| Aliya B Ladha | Obstetrics/gynecology | Neda Hashemi Md PC | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2135 |
| Mojgan Haghshenas | Optometry | Centreville Optometry, LLC | 14245 E Centreville Sq, Centreville, VA 20121-2368 |
| Polin Lay | Optometry | Centreville Optometry, LLC | 14245 E Centreville Sq, Centreville, VA 20121-2368 |
| Brett Gladish | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Julia Guerrant | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Mccaul Benson | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| John Y Chong | Ophthalmology | 5900 Fort Dr, Suite 301, Centreville, VA 20121-2425 | |
| Ken Herbel | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Find all physicians in zip 20121 | |||
| City | CENTREVILLE |
| Zip Code | 20121 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CENTREVILLE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jeron Mendoza.
| 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.