Gregory Mellinger in Warsaw - Physician Assistant

Gregory Mellinger - NPI 1679763437

Gregory Mellinger is a Physician Assistant in Warsaw, Indiana. Gregory Mellinger practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory Mellinger is 1679763437. The last update date is 2008-01-15.

Gregory Mellinger's current location address is 1500 Provident Dr, Warsaw, Indiana. You can contact this provider via phone number 5743725823. The mailing address for Gregory Mellinger is 1500 Provident Dr, Warsaw, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Mellinger
Address 1500 Provident Dr, Warsaw, Indiana
Phone Number 5743725823
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1679763437
Provider Enumeration Date 2007-07-27
Last Updated Date 2008-01-15

Provider Mailing Address Detail

Address 1500 Provident Dr
City Warsaw
State Indiana (IN)
Post Code 465803291
Phone Number 5743725823
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 99027179A
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
592337 ANTHEM

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FAQs about Gregory Mellinger

What is the unique identifier code issued to Gregory Mellinger by the Centers for Medicare & Medicaid Services (CMS)?

The Gregory Mellinger has been assigned the NPI (National Provider Identifier) 1679763437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Gregory Mellinger?

The Gregory Mellinger is situated at 1500 Provident Dr, in the city of Warsaw, state of IN, with the zip code 465803291.

What is Gregory Mellinger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory Mellinger is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679763437 to Gregory Mellinger?

The Gregory Mellinger received its 1679763437 assignment from the Centers for Medicare & Medicaid Services on 2007-07-27.

When was the Gregory Mellinger's information last updated?

The Gregory Mellinger's information was last updated on 2008-01-15.

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