Active NPI
Herbert Mendelsohn, MD
- Dermatology Physician
- Altamonte Springs, FL
National Provider Identifier
1124138607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME19484
- Practice address
- 106 Boston Ave Ste 105
Altamonte Springs, FL 32701-4711 - Phone
- (407) 834-9091
- Fax
- (407) 834-6157
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME19484 | FL | Primary |
Addresses
Primary practice location
106 Boston Ave Ste 105
Altamonte Springs, FL 32701-4711
Mailing address
2600 Lake Lucien Dr Ste 180
Maitland, FL 32751-7235
Phone (407) 875-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124138607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 LAKE LUCIEN DR STE 180",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517235",
"telephone_number": "407-875-2080",
"fax_number": "407-875-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BOSTON AVE STE 105",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014711",
"telephone_number": "407-834-9091",
"fax_number": "407-834-6157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSOHN",
"first_name": "HERBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME19484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.