1184667271 NPI number — RONALD MENDONZA MD

Table of content: RONALD MENDONZA MD (NPI 1184667271)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184667271 NPI number — RONALD MENDONZA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MENDONZA
Provider First Name:
RONALD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184667271
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
87 FOX CHAPEL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORCHARD PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14127-3023
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-532-5582
Provider Business Mailing Address Fax Number:
716-532-0110

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CATTARAUGUS INDIAN RESERVATION HEALTH CENTER
Provider Second Line Business Practice Location Address:
36 THOMAS INDIAN SCHOOL DRIVE
Provider Business Practice Location Address City Name:
IRVING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-532-5582
Provider Business Practice Location Address Fax Number:
716-532-0110
Provider Enumeration Date:
06/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  128133 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6408377 . This is a "INDEPENDENT HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6001803 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".