Oliver Mendoza

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F04180330 Issued in OH

Practice address

1480 Center Rd Ste B
Avon, OH 44011-1239

Phone

(440) 406-5811

NPI assigned

Oct 1, 2018

Last updated

Dec 17, 2020By 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 names 1

• Oliver Mendoza Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omendoza28172@ehrdirect.uhhospitals.org

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.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment Care Compare group NPD
• University Primary Care Practices Inc

  dba Uhmp

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098
  NPD
• University Primary Care Practices Inc

  dba Center for Orthopedics

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  NPD (past)
• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emh Regional Medical Center

  dba University Hospitals Elyria Medical Center

  • General Acute Care Hospital
  • Elyria, OH
  • NPI 1841299039
  Care Compare affiliation

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1699250167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 CENTER RD STE B",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111239",
            "telephone_number": "440-406-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CENTER RD STE B",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111239",
            "telephone_number": "440-406-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "OLIVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F04180330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olivermendoza@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1480 Center Rd Ste B",
            "city": "Avon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440111239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OLIVER",
            "last_name": "MENDOZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nishit Mehta, MD
• Meijer Stores Limited Partnership (Meijer Pharmacy #308)
• Mark Sameh Naguib Mekhail, DDS
• William Quinn Menard, DPT
• Jose E Mendoza III, M.D.
• Mercy Health Physicians Lorain Specialty Care LLC
• Megan Mericle, PSY.D.
• Abby Taylor Messinger, DPT
• Ela Mici
• Natalie Jo Migoni, D.C.

• Family Nurse Practitioner in Avon, OH
• Providers in Avon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.
• 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.