Henry P Mendoza MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301031986 Issued in MI

Legal business name

HENRY P MENDOZA MD PC

Doing business as

Diagnostic Care Associates

Practice address

2239 S Linden Rd
Flint, MI 48532-5412

Phone

(810) 732-0020

Fax

(810) 732-7937

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Henry P Mendoza, MDNPI 1255426102

Title

Owner

Phone

(810) 732-0020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Diagnostic Care Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Henry P Mendoza, M.D.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1255426102
  Medicare reassignment NPD Authorized official
• Gregorio P Imperial Jr., M.D.

  • Family Medicine Physician
  • Flint, MI
  • NPI 1578658340
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1205165503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325412",
            "telephone_number": "810-732-0020",
            "fax_number": "810-732-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325412",
            "telephone_number": "810-732-0020",
            "fax_number": "810-732-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY P MENDOZA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-732-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301031986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0258594",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health Genesys Hospital (Genesys Downtown-Gi Clinic)
• Henry Ford Health Genesys Hospital (Genesys Downtown IM)
• Henry Ford Health Genesys Hospital (Downtown Health Center -OBGYN)
• Henry Ford Health Genesys Hospital (Downtown Health Center-Podiatry)
• Henry Ford Health Genesys Hospital (Genesys Downtown-Surgery)
• Desiree Antwanette Henry
• Julie Breanne Henry, PA-C
• Kiara Henry
• Patrick N Henry, MSW
• Linda Henson

• Internal Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.