Organization Active NPI

Elvin M Mendez M.D., P.a.

  • Allergy & Immunology Physician
  • Port Charlotte, FL
National Provider Identifier
1114911245
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME64431 Issued in FL
Legal business name
ELVIN M MENDEZ M.D., P.A.
Practice address
3410 Tamiami TRL
A1
Port Charlotte, FL 33952-8127
Phone
(941) 255-3722
Fax
(941) 255-3723
NPI assigned
Sep 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elvin M Mendez, M.D., P.A.
Title
Owner
Phone
(941) 255-3722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X ME64431 FL Primary

Addresses

Primary practice location

3410 Tamiami TRL
A1
Port Charlotte, FL 33952-8127

Mailing address

PO Box 511896
Punta Gorda, FL 33951-1896
Phone (941) 255-3722

Other identifiers 1

IdentifierTypeStateIssuer
47861OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

5900 Pan American Blvd
Unit 203
North Port, FL 34287
Phone (941) 255-3722

3410 Tamiami Trl
#A1
Port Charlotte, FL 33952
Phone (941) 255-3722

3410 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33952
Phone (941) 255-3722

713 E Marion Ave
#301
Punta Gorda, FL 33950
Phone (941) 255-3722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1114911245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511896",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339511896",
            "telephone_number": "941-255-3722",
            "fax_number": "941-255-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 TAMIAMI TRL",
            "address_2": "A1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-255-3722",
            "fax_number": "941-255-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELVIN M MENDEZ M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-05",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-255-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME64431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47861",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.