Marcial J Mendez

Primary specialty

SpecialistTaxonomy code 174400000X

License

11939 Issued in AL

Practice address

115 Herren Hill Rd
Tallassee, AL 36078-1276

Phone

(334) 283-3477

Fax

(334) 283-4162

NPI assigned

Jul 26, 2006

Last updated

May 23, 2012By the provider in NPPES

Sex

Male

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Chilton Family Care, LLC

  • Family Medicine Physician
  • Clanton, AL
  • NPI 1366857674
  Medicare reassignment NPD
• Community Hospital Inc

  dba Tallassee Internal Medicine

  • Internal Medicine Physician
  • Tallassee, AL
  • NPI 1295040376
  Medicare reassignment NPD
• Ivy Creek of Elmore, LLC

  dba Ivy Creek Family Care of Tallassee

  • Rural Health Clinic/Center
  • Tallassee, AL
  • NPI 1558868323
  Medicare reassignment NPD
• Physical Express

  • Family Medicine Physician
  • Millbrook, AL
  • NPI 1043362734
  Medicare reassignment NPD
• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  Medicare reassignment NPD
• Wetumpka Urgent Care LLC

  • Urgent Care Clinic/Center
  • Wetumpka, AL
  • NPI 1194057554
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Community Hospital Inc

  dba Tuskegee Medical and Surgical Clinic

  • Family Medicine Physician
  • Tuskegee, AL
  • NPI 1922135425
  NPD
• Community Hospital, Inc

  • Family Medicine Physician
  • Tallassee, AL
  • NPI 1114982360
  NPD
• Ivy Creek of Elmore, LLC

  dba Ivy Creek Family Care of Wetumpka

  • Rural Health Clinic/Center
  • Wetumpka, AL
  • NPI 1508480633
  NPD
• Ivy Creek of Elmore, LLC

  dba Ivy Creek Family Care of Holtville

  • Rural Health Clinic/Center
  • Deatsville, AL
  • NPI 1578060349
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1407870504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HERREN HILL RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781276",
            "telephone_number": "334-283-3477",
            "fax_number": "334-283-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HERREN HILL RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781276",
            "telephone_number": "334-283-3477",
            "fax_number": "334-283-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MARCIAL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "11939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Brantley Lock, PHARMD
• Suzanne M Lynch
• Magnolia Place Eyecare LLC
• Charles D McCartha, DMD
• Mended Spaces Educational Services LLC
• Michael a Courtney, M.D.
• Michael W. Peaden MD PC
• Montgomery Drug Company Inc
• Montgomery Psychiatry, PC
• Nicholas Harding Mullins, OD

• Specialist in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.