Ellie Chiwon Kho Mentler, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101242123 Issued in VA

Practice address

2080 Child Street Naval Hospital Jacksonville
Jacksonville, FL 32214-2111

Phone

(904) 542-7600

NPI assigned

Oct 16, 2006

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Uniformed Services Uhs Fe Hebert School of Med, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Margaret E Seymour MD PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1396282620
  Medicare reassignment NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1841370020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 ESTATES LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575764",
            "telephone_number": "022-841-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD STREET NAVAL HOSPITAL JACKSONVILLE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322142111",
            "telephone_number": "904-542-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTLER",
        "first_name": "ELLIE",
        "middle_name": "CHIWON KHO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101242123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Resource Center Inc
• Mental Health Resource Center Inc
• Mental Health Services of Florida, Inc.
• Kenzie Mente
• John Joseph Mentel, M.D.
• Stacey Menton, MM
• Bobbie Jo Mentz, MPT
• Christine Ann Mentz
• Robert Theodore Mentz III, OTR/L
• Christopher Menz, ARNP

• Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.