Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shaun Douglas Mendenhall, MD

Individual provider Plastic Surgery Physician · NPI 1023305018

Dr. Shaun Douglas Mendenhall, MD is a Plastic and Reconstructive Surgery in Philadelphia, Pennsylvania. Graduated from University of Utah School of Medicine in 2011, 15 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Utah.

Years since qualifying
15
Trained at
University of Utah School of Medicine
Licensed in
PA, UT
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-2208
Fax: (215) 590-2496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD460847 (PA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 10742767-1205 (UT)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 10742767-1205 (UT)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 10742767-1205 (UT)

Record details

NPI number1023305018
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2011
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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