RICHARD J. MENDIETA M.D. NPI 1821045204

NPI Information

NPI: 1821045204
Provider Name: RICHARD J. MENDIETA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
100 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-5371
Get Directions

Richard J. Mendieta, M.D. is a pediatrics in Gallipolis, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Richard J. Mendieta, M.D. NPI is 1821045204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631-560
Phone: (740) 446-5371
Fax: (740) 446-5711

The NPI 1821045204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 11/4/2020.

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	License Number	License State	Primary
1	208000000X	Pediatrics	35-07-2682	OHIO	Yes
2	208000000X	Pediatrics	35.072682	OHIO	No
3	208000000X	Pediatrics	19317	WEST VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0111033000	MEDICAID	WEST VIRGINIA
2	370008914	OTHER		RR MEDICARE
3	000000181967	OTHER	OHIO	UNISON MEDICAID
4	000000007410	OTHER		ANTHEM BCBS
5	310917085028	OTHER	OHIO	CARESOURCE MEDICAID
6	001714096	OTHER		MOUNTAIN STATE BCBS
7	2037718	OTHER	OHIO	MOLINA MEDICAID

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: 4/28/2024

NPI Synchronization or Removal

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