MRS. MELODY SUE OETH (NPI# 1104148634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104148634 |
Entity Type | Individual |
Full Name | MRS. MELODY SUE OETH |
Credential | F.N.P. |
Practice Address |
1900 W 4th St Mount Vernon IN 47620-9407 |
Practice Telephone | 8128384891 |
Practice Fax Number | 8128386595 |
Mailing Telephone | 8128384891 |
Mailing Fax Number | 8128386595 |
Enumeration Date | 2010-02-25 |
Last Update Date | 2012-06-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28080637A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1900 W 4TH ST |
City | MOUNT VERNON |
State | IN |
Zip Code | 47620-9407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790761062 | Darin Wayne Keitel | Optometrist | 1900 W 4th St, Mount Vernon, IN 47620-9407 | 2005-12-19 |
1467945139 | Shannon Brittany Lee | Registered Nurse | 1900 W 4th St, Mount Vernon, IN 47620 | 2018-06-07 |
1881008340 | Kathryn M Lee-kalsch | Family Medicine | 1900 W 4th St, Mount Vernon, IN 47620-9407 | 2014-06-12 |
1437383924 | Joseph Matthew Lee | Internal Medicine | 1900 W 4th St, Mount Vernon, IN 47620-9407 | 2009-05-12 |
1700058609 | Keitel Eye Care, P.C. | Optometrist | 1900 W 4th St, Mount Vernon, IN 47620-9407 | 2008-03-31 |
1417984303 | Gordon A Vogel | Internal Medicine | 1900 W 4th St, Mount Vernon, IN 47620-9407 | 2006-06-27 |
1336101682 | Kyle Owen Rapp | Family Medicine | 1900 W 4th St, Mount Vernon, IN 47620-9407 | 2006-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528434024 | Derek M Solomon | Physical Therapist | 526 E 4th St, Mount Vernon, IN 47620 | 2015-08-19 |
1225235492 | Michael Constancio Respicio Mahinay Iv | Specialist | 1250 Main St, #1282, Mount Vernon, IN 47620 | 2007-06-29 |
1144348145 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1410 Clover St, Mt Vernon, IN 47620 | 2007-03-27 |
1902842941 | Matthew R Lee | Family Medicine | 1900 West Fourth Street, Suite 4, Mount Vernon, IN 47620 | 2006-06-20 |
1235673989 | Rehabfocus LLC | Physical Therapist | 1250 Main St, #1282, Mount Vernon, IN 47620 | 2016-12-15 |
1184960007 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1415 Country Club Rd, Mount Vernon, IN 47620 | 2012-12-20 |
1760891618 | David N. Wells | Dentist | 803 East Fourth Street, Mount Vernon, IN 47620-0673 | 2014-08-05 |
1104142918 | David Keith Uebelhack | Dentist | 803 East Fourth St., Mount Vernon, IN 47620-0673 | 2010-04-19 |
1629258496 | Jaley Anne Montgomery | Music Therapist | 325 Washington Ave, Mount Vernon, IN 47620-1135 | 2007-11-09 |
1356404461 | Rehabilitation Center Developmental Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1855 Westwood Dr, Mount Vernon, IN 47620-1139 | 2006-12-19 |
Find all providers in zip 47620 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421066 | Amantha Theodore | Nurse Practitioner | 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 | 2020-09-15 |
1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
1154969103 | Sarah Jacqueline Lim-dwyer | Nurse Practitioner | 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 | 2019-12-19 |
1306481056 | Julie Marie Forbes-laborde | Nurse Practitioner | 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 | 2019-11-15 |
1447819305 | Gladys E Aideyan | Nurse Practitioner | 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 | 2019-06-13 |
1417467929 | Shernette T Suer | Nurse Practitioner | 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 | 2017-10-10 |
1194254946 | Amy Haibel | Nurse Practitioner | 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 | 2017-06-06 |
1699216697 | Diana Mcnear | Nurse Practitioner | 421 S 3rd Ave, Mount Vernon, NY 10550-4507 | 2017-03-10 |
1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
1144772955 | Tahiesha Tolbert | Nurse Practitioner | 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 | 2016-10-27 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 47620 |
Please comment or provide details below to improve the information on MRS. MELODY SUE OETH.
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.