Eric N Mendeloff, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

L7810 Issued in TX

Practice address

7777 Forest LN
Suite B-115
Dallas, TX 75230-2505

Phone

(972) 566-2525

Fax

(972) 566-2032

NPI assigned

Oct 10, 2005

Last updated

Aug 15, 2008By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: eric.mendeloff@hca7.eclinicaldirectplus.com

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1588652010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842018",
            "telephone_number": "915-373-7600",
            "fax_number": "615-373-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B-115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-2525",
            "fax_number": "972-566-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELOFF",
        "first_name": "ERIC",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L7810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100064120B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196107",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8X5490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caylin Menard
• Menas Home Healthcare Solutions, Inc.
• Bret Michael Menassa, PHD
• Rene Gerardo Menchaca Jr.
• Vivian Menchaca, MSN, RN, BC, FNP
• Dianne Bernice Mendelsohn, MD
• David James Mendelson, M.D.
• Edward Neil Mendelson, O.D.
• Lyndsay Mendenhall
• Morgan Mendenhall, RD, LD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.