Greta Jessalea Melton in Springfield - Physician Assistant
Greta Jessalea Melton - NPI 1750447108
Greta Jessalea Melton is a Physician Assistant in Springfield, Missouri. Greta Jessalea Melton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Greta Jessalea Melton is 1750447108. The last update date is 2019-12-04.
Greta Jessalea Melton's current location address is 3801 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4172697728 and fax number 4172697729. The mailing address for Greta Jessalea Melton is 3801 S National Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greta Jessalea Melton |
|---|---|
| Address | 3801 S National Ave, Springfield, Missouri |
| Phone Number | 4172697728 |
| Fax Number | 4172697729 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1750447108 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2019-12-04 |
Provider Mailing Address Detail
| Address | 3801 S National Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658075210 |
| Phone Number | 4172697728 |
| Fax Number | 4172697729 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2007002741 |
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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 |
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What is the unique 10-digit identifier code issued to Greta Jessalea Melton by the Centers for Medicare & Medicaid Services?
The Greta Jessalea Melton has been assigned the NPI (National Provider Identifier) 1750447108 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Greta Jessalea Melton's physical address?
The Greta Jessalea Melton is physically located at 3801 S National Ave, in the city of Springfield, MO, with the postal code 658075210.
What is Greta Jessalea Melton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Greta Jessalea Melton is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1750447108 assigned to Greta Jessalea Melton?
The Greta Jessalea Melton was issued its 1750447108 on 2006-12-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Greta Jessalea Melton's details last updated?
The information pertaining to the Greta Jessalea Melton, including its address, specialty, and other details, was most recently updated on 2019-12-04.