Organization Active NPI

Pedro G Mendoza MD PC

Doing business as Pneumos Lung and Sleep Specialists

  • Clinic/Center
  • Bismarck, ND
National Provider Identifier
1760678676
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5553 Issued in ND
Legal business name
PEDRO G MENDOZA MD PC
Doing business as
Pneumos Lung and Sleep Specialists
Practice address
300 W Century Ave
Bismarck, ND 58503-1401
Phone
(701) 323-9900
Fax
(701) 323-9911
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Ms. Shawna D. Zastoupil, R.H.I.T.
Title
Director of Coding/Billing
Phone
(701) 323-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5553 ND Primary

Addresses

Primary practice location

300 W Century Ave
Bismarck, ND 58503-1401

Mailing address

300 W Century Ave
Bismarck, ND 58503-1401
Phone (701) 323-9900

Other names 1

  • Pneumos Lung and Sleep Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1760678676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031401",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031401",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO G MENDOZA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "ZASTOUPIL",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR OF CODING/BILLING",
        "authorized_official_telephone_number": "701-323-9900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.H.I.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pneumos Lung and Sleep Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.