MELINDA ANNETTE GREEN (NPI# 1063010676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063010676 |
| Entity Type | Individual |
| Full Name | MELINDA ANNETTE GREEN |
| Practice Address |
22 Meadowbrook Ave Boardman OH 44512-2605 |
| Practice Telephone | 3307744670 |
| Mailing Telephone | 3307744670 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 5505995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096881 | Melinda Poteet Green | Occupational Therapy Assistant | Po Box 503, High Rolls Mountain Park, NM 88325-0503 | 2018-06-14 |
| 1306348289 | Melinda Ann Green | Counselor | 2025 Mehaffey Bridge Rd Ne, Solon, IA 52333-9218 | 2018-03-06 |
| 1518481217 | Melinda J Green | Registered Nurse | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2017-08-03 |
| 1215234018 | Melinda Green | Physical Therapy Assistant | 5481 Sw 60th St, Suite 102, Ocala, FL 34474-7698 | 2011-02-15 |
| 1023250370 | Melinda K Green | Registered Nurse | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7369 | 2009-04-01 |
| Street Address |
22 MEADOWBROOK AVE |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275125 | Amy Joy Knott | Clinic/Center | 761 N Freedom St, Ravenna, OH 44266-2470 | 2020-11-02 |
| 1316404965 | Joyful Living Care | Clinic/Center | 4209 Secor Rd Apt 339, Toledo, OH 43623-4222 | 2019-03-01 |
| 1952881237 | Hh Direct Health Services LLC. | Clinic/Center | 14920 Grandview Ter, East Cleveland, OH 44112-2940 | 2018-08-16 |
| 1104367218 | Derek Engler | Clinic/Center | 1012 Mavor St, Springfield, OH 45505-2848 | 2017-03-09 |
| 1295166031 | Abc Therapy Ltd | Clinic/Center | 30 Rothrock Loop, Copley, OH 44321-1331 | 2013-12-04 |
| 1275813602 | Liberty Care Agency, LLC | Clinic/Center | 5210 Aster Park Dr Apt 1712, Hamilton, OH 45011-6300 | 2011-08-17 |
| 1215101811 | Beth Rosner, Ph.d. LLC | Clinic/Center | 7644 Slate Ridge Blvd, Reynoldsburg, OH 43068-8159 | 2008-04-15 |
| 1194852749 | Brown County Board of Mental Retardation and Developmental Disabilitie | Clinic/Center | 325 W State St, Building A, Suite 2, Georgetown, OH 45121-1229 | 2007-02-28 |
| 1265578348 | Sara's Garden-the Sara Joy Rychener-burkholder Hyperbaric Center | Clinic/Center | 620 W Leggett St, Wauseon, OH 43567-1348 | 2007-01-29 |
| 1447851456 | The Goodwill Industries of Akron, Ohio, Inc. | Clinic/Center | 570 E Waterloo Rd, Akron, OH 44319-1223 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.