Marni L Mentis, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

OS 8521 Issued in FL

Practice address

401 Corbett St
Suite 310
Clearwater, FL 33756

Phone

(727) 474-0205

Fax

(727) 474-9179

NPI assigned

Feb 1, 2008

Last updated

Nov 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marni L Mentis DO PA

  • Plastic Surgery Physician
  • Belleair, FL
  • NPI 1700113040
  Authorized official Same address or phone

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1215115217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 13TH ST",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863303",
            "telephone_number": "727-365-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST",
            "address_2": "SUITE 310",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-474-0205",
            "fax_number": "727-474-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTIS",
        "first_name": "MARNI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "OS 8521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consorcia S. Mendoza
• Ruel Mendoza, CRNA
• Salma Edward Menias
• Matthew M Menosky, MD
• Mental Health Resource Center Inc
• Phiesha Mentore
• Rosemarie G. Merana
• Mario A Mercado Seda, CST/CSFA
• Jatharine Mercado, LMHC
• Nathalia Mercado

• Plastic Surgery Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.