LARA MELCHIONDA (NPI# 1144558107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144558107 |
| Entity Type | Individual |
| Full Name | LARA MELCHIONDA |
| Credential | P.A.-C |
| Practice Address |
21 Highland Ave Suite 3-4a Newburyport MA 01950-3872 |
| Practice Telephone | 9784628300 |
| Practice Fax Number | 9784628301 |
| Mailing Telephone | 9784628300 |
| Mailing Fax Number | 9784628301 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | PA3916 | 01 |
| Street Address |
21 HIGHLAND AVE SUITE 3-4A |
| City | NEWBURYPORT |
| State | MA |
| Zip Code | 01950-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355232 | Joseph W. Gross | Internal Medicine | 21 Highland Ave, Ste 5, Newburyport, MA 01950-3872 | 2005-06-09 |
| 1104366400 | Jacqueline Carroll | Nurse Practitioner | 21 Highland Ave, Ajh, Cardiology Department, Newburyport, MA 01950-3872 | 2017-03-06 |
| 1033658042 | Meghan Chase | Nurse Practitioner | 21 Highland Ave, Suite 24, Newburyport, MA 01950-3872 | 2017-02-23 |
| 1104362953 | Jeffrey M Bentley Md PC | Surgery | 21 Highland Ave, Suite 7, Newburyport, MA 01950-3872 | 2017-01-17 |
| 1356738330 | Kohli Plastic Surgery PC | Clinic/Center | 21 Highland Ave, Suite 10, Newburyport, MA 01950-3872 | 2015-04-17 |
| 1760879878 | Charles A Swanson | Health Maintenance Organization | 21 Highland Ave, Suite 3, Newburyport, MA 01950-3872 | 2015-04-16 |
| 1174928543 | Seacoast Pain Center, LLC | Pain Medicine | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 | 2014-10-28 |
| 1306245634 | Seacoast Orthopedics and Sports Medicine LLC | Specialist | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 | 2014-08-22 |
| 1699114512 | Matthew S Favazza | Nurse Practitioner | 21 Highland Ave, Suite 24, Newburyport, MA 01950-3872 | 2013-06-25 |
| 1366712002 | River Valley Infectious Disease Specialists Inc. | Internal Medicine | 21 Highland Ave, Suite 5, Newburyport, MA 01950-3872 | 2012-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURYPORT |
| Zip Code | 01950 |
Please comment or provide details below to improve the information on LARA MELCHIONDA.
| 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.