DR. MELODY ANN GONGWER (NPI# 1194703009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194703009 |
| Entity Type | Individual |
| Full Name | DR. MELODY ANN GONGWER |
| Credential | M.D. |
| Practice Address |
1315 Hillcrest Rd Bedford IN 47421-3023 |
| Mailing Address |
645 S Rogers St Bloomington IN 47403-2353 |
| Practice Telephone | 8122793591 |
| Practice Fax Number | 8122750787 |
| Mailing Telephone | 8123391691 |
| Mailing Fax Number | 8123372259 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2009-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01051287A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01051287A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM PIN | 000000192710 | 01 | |
| IN | 200264440A | 05 |
| Street Address |
1315 HILLCREST RD |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285620575 | Allen Zehr | Social Worker | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2005-09-22 |
| 1578185195 | Georgi Wade | Case Manager/Care Coordinator | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2020-05-18 |
| 1740825793 | Isaac W Martin | Social Worker | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2019-11-14 |
| 1447817036 | Shandi G Gerkin | Counselor | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2019-05-20 |
| 1871013607 | Heather L Rathbun | Counselor | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2017-06-22 |
| 1710296017 | Kelly L Higgins | Social Worker | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2010-10-04 |
| 1083798011 | Abbi Eshelman | Counselor | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2006-10-25 |
| 1265512495 | Megan Hawk | Social Worker | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2006-10-16 |
| 1043303514 | Jonikka Elizabeth Vance | Social Worker | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2006-10-02 |
| 1518939784 | Susan L Burk | Social Worker | 1315 Hillcrest Rd, Bedford, IN 47421-3023 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043560642 | Crescent Psychiatry Pllc | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 203, Bedford, TX 76022-6930 | 2012-09-12 |
| 1568506699 | Shahnhaz Saleem | Psychiatry & Neurology | 500 Gold Hawk Ln., Bedford, TX 76022 | 2007-02-20 |
| 1740329291 | Dubravko Matije Kuftinec | Psychiatry & Neurology | 69 Stowell Rd, Bedford, NH 03110-4716 | 2007-02-05 |
| 1033265509 | Stanley F Wallace | Psychiatry & Neurology | 38 Hancock Street, Bedford, MA 01730 | 2007-01-26 |
| 1326146960 | Shannon Johnson | Psychiatry & Neurology | 3901 Airport Fwy, Suite 320, Bedford, TX 76021-6117 | 2006-09-20 |
| 1144339417 | Jayakumar Patil | Psychiatry & Neurology | 80 Palomino Ln Ste 203, Bedford, NH 03110-6447 | 2006-08-30 |
| 1083625222 | Barbara Ann Walters | Psychiatry & Neurology | 1 Bedford Farms Dr, Bedford, NH 03110-6524 | 2006-08-11 |
| 1780613620 | Svetlana Droznin | Psychiatry & Neurology | 218 North Rd, Bedford, MA 01730-1024 | 2006-07-02 |
| 1487696076 | Centra Health Professional Services | Psychiatry & Neurology | 810 Blue Ridge Ave, Suite A, Bedford, VA 24523-2433 | 2006-06-11 |
| 1871530071 | Daniel M Teplin | Psychiatry & Neurology | 205 Burlington Rd, Bedford, MA 01730-1406 | 2006-05-31 |
| Find all providers in BEDFORD | ||||
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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.