Vinod Chimanlal Mehta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

029913 Issued in GA

Practice address

840 SE Bishop Blvd Ste 103
Pullman, WA 99163

Phone

(509) 338-6000

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomaston Medical Clinic, PC

  • Internal Medicine Physician
  • Thomaston, GA
  • NPI 1386616738
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1821096868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SE BISHOP BLVD STE 101",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635502",
            "telephone_number": "509-332-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SE BISHOP BLVD STE 103",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "509-338-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546B S 8th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244212",
            "country_code": "US",
            "telephone_number": "770-228-8242",
            "fax_number": "770-200-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "VINOD",
        "middle_name": "CHIMANLAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "029913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330085D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne T McGreevy
• John S. McInturff, DDS
• Deaneal Paul McKnight, MS
• Bethany Marie McMillen, OT
• Sarah McNare, RC
• Melanie Whetstine PHD LLC
• Taylor Ashley Menard
• Amy Meredith, PH.D., CCC/SLP
• Mark W Merritt, RDMS
• Colin R Meyer, LMP, NCTMB

• Internal Medicine Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.