Healthcare Provider Details

I. General information

NPI: 1518080357
Provider Name (Legal Business Name): JANET FIELD MENDOLA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET MARGUERITE MENDOLA M.D.

II. Dates (important events)

Enumeration Date: 04/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 BETHEL RD
COLUMBUS OH
43220-2690
US

IV. Provider business mailing address

4913 VICKSBURG LN
HILLIARD OH
43026-5742
US

V. Phone/Fax

Practice location:
  • Phone: 614-282-4411
  • Fax: 614-451-3017
Mailing address:
  • Phone: 614-282-4411
  • Fax: 614-451-3017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35055580
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: