MEDICARE: DR. PAULA REBECCA MENDIOLA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	OP60067853	WA
2	208600000X	Surgery Physician	O-0674	ID

General Provider Information

NPI Number	:	1679595631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA REBECCA MENDIOLA D.O.

Provider Business Mailing Address
First Line	:	1024 E LOCUST ST
Second Line	:
City	:	EMMETT
State	:	ID
Zip	:	83617-2776
Country	:	US
Telephone Number	:	208-365-2338
Fax Number	:	208-365-0677

Provider Business Practice Location Address
First Line	:	1024 E LOCUST ST
Second Line	:
City	:	EMMETT
State	:	ID
Zip	:	83617-2776
Country	:	US
Telephone Number	:	208-365-2338
Fax Number	:	208-365-0677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	12/20/2012

Similar Medicare Providers

1891798773 — DR. LARRY V. DOWNER O.D.
Practice Location Address:

1016 E LOCUST ST
EMMETT, ID
83617-2776

Practice Phone: 208-365-3584
Practice Fax: 208-365-2471

1922007004 — GEM HOME HEALTH
Practice Location Address:

1024 E LOCUST ST
EMMETT, ID
83617-2776

Practice Phone: 208-365-3561
Practice Fax: 208-365-4176

1326206947 — WALTER KNOX MEMORIAL HOSPITAL
Practice Location Address:

1024 E LOCUST ST
EMMETT, ID
83617-2776

Practice Phone: 208-365-3561
Practice Fax: 208-365-4176

1447412929 — DR. ZACHARY N BASTIAN MD
Practice Location Address:

1024 E LOCUST ST
EMMETT, ID
83617-2776

Practice Phone: 208-365-2338
Practice Fax: 208-365-0677

1821334657 — SURGICAL SPECIALTIES CLINIC
Practice Location Address:

1024 E LOCUST ST
EMMETT, ID
83617-2776

Practice Phone: 208-365-2338
Practice Fax:

1003368358 — STEPHANIE ANN STERNES LCPC, LAMFT, NCC
Practice Location Address:

1016 E LOCUST ST
EMMETT, ID
83617-2776

Practice Phone: 208-918-0054
Practice Fax: 844-696-1471

Directions to “ DR. PAULA REBECCA MENDIOLA D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.