Pediatrics, Adolescent Medicine
DR. MENDOZA'S PEDIATRIC AND ADOLSCENT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295908101 · enumerated 2008-04-11 · record updated 2014-07-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: EDGAR MENDOZA MD, OWNER · (606) 693-4800
Addresses and phones
- Mailing address PO BOX 790, JACKSON, KY, 41339-0790 (606) 693-4800 Fax (606) 693-4825 Google Maps Apple Maps OpenStreetMap
- Practice location 424 JETT DR, JACKSON, KY, 41339-9621 (606) 693-4800 Fax (606) 693-4825 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · Primary · License 33465 KY
In this directory
Locations and evidence
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Practice location
JACKSON, KY, 413399621
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.