Internal Medicine in BATON ROUGE, LA
Last Updated on : Mar 05,2015
DOUGLAS K MENDOZA is an Internal Medicine provider in BATON ROUGE, United States. His medical specialization is Internal Medicine with a focus in Interventional Cardiology.
1700888997 is NPI number of DOUGLAS K MENDOZA.
DOUGLAS K MENDOZA's primary taxonomy code based on NPI Lookup is 207RI0011X with license number MD021620. This taxonomy code refers to Internal Medicine.
DOUGLAS K MENDOZA has more than 17 years of experience.
DOUGLAS K MENDOZA current practice location address is 9001 SUMMA AVE, BATON ROUGE, LA. DOUGLAS K MENDOZA can be reached out via phone at 225-761-5200 .
You can also correspond with DOUGLAS K MENDOZA through mail at mailing address 9001 SUMMA AVE, BATON ROUGE, LA, United States. Mailing address contact number is 225-761-5200.
The enumeration date of DOUGLAS K MENDOZA is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.Basic NPI information of DOUGLAS K MENDOZA (NPI 1700888997) is provided below.
Name | DOUGLAS K MENDOZA |
---|---|
National Provider Id (NPI) | 1700888997 |
Entity Type | Individual |
Gender | M |
Credential | M.D. |
Practice Address | 9001 SUMMA AVE,
BATON ROUGE, LA, United States |
Practice Telephone | 225-761-5200 |
Practice Fax Number | |
Mailing Address | 9001 SUMMA AVE ,
BATON ROUGE, LA, United States |
Mailing Telephone | 225-761-5200 |
Mailing Fax Number | 225-761-5538 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 05-Mar-2015 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Internal Medicine, Interventional Cardiology | MD021620 | LA |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internal Medicine, Cardiovascular Disease | 021620 | LA |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
00124748 | MEDICAID (05) | MS | |
00588343 | MEDICAID (05) | MS | |
1660400 | MEDICAID (05) | LA |
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---|---|---|---|---|
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26-Dec-2007 |
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19-Apr-2007 |
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20-Sep-2007 |
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03-Apr-2007 |
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23-Sep-2014 |
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22-Nov-2021 |
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15-Sep-2011 |
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12-Oct-2020 |
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14-Apr-2020 | |
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The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1700888997 is the NPI number of DOUGLAS K MENDOZA.
What is the specialty for DOUGLAS K MENDOZA?The Specialty of DOUGLAS K MENDOZA is Internal Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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