Provider Demographics
NPI:1194874149
Name:MENDELSOHN, JON E (MD FACS)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:E
Last Name:MENDELSOHN
Suffix:
Gender:M
Credentials:MD FACS
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Mailing Address - Street 1:3805 EDWARDS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1900
Mailing Address - Country:US
Mailing Address - Phone:513-351-3223
Mailing Address - Fax:513-396-8995
Practice Address - Street 1:3805 EDWARDS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1900
Practice Address - Country:US
Practice Address - Phone:513-351-3223
Practice Address - Fax:513-396-8995
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350719832082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH02362Medicare UPIN