THOMAS MENDOLIA NPI 1689631368

NPI Information

  • NPI: 1689631368
  • Provider Name: THOMAS MENDOLIA
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • Address: 201 W MAIN ST
    ELKIN, NC
    ZIP 28621
  • Phone: (336) 835-5688

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NPI Details

THOMAS MENDOLIA is an ambulatory surgical clinic center in Elkin, NC. THOMAS MENDOLIA NPI is 1689631368. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

201 W MAIN ST
ELKIN, NC
ZIP 28621-490
Phone: (336) 835-5688
Fax: (336) 835-6521

The provider's authorized official is Thomas Mendolia .
The authorized official title is PHYSICIAN AND SOLE OWNEROwner and has the following contact phone number (336) 835-5688.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist34401NORTH CAROLINANo
2261QA1903XClinic/CenterAmbulatory Surgical34401NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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