Active NPI
William R. Mende, MD
- Family Medicine Physician
- Millersburg, PA
National Provider Identifier
1780646091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD019670E
- Practice address
- 1000 Evelyn Dr
Millersburg, PA 17061-1258 - Phone
- (717) 692-4761
- Fax
- (717) 692-2381
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD019670E | PA | Primary |
Addresses
Primary practice location
1000 Evelyn Dr
Millersburg, PA 17061-1258
Mailing address
118 Washington St
Harrisburg, PA 17104-1677
Phone (717) 231-8539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019670E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1780646091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041677",
"telephone_number": "717-231-8539",
"fax_number": "717-231-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EVELYN DR",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611258",
"telephone_number": "717-692-4761",
"fax_number": "717-692-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDE",
"first_name": "WILLIAM",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD019670E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.