JEREME EDWIN MELLENTHIN (NPI# 1194993972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194993972 |
| Entity Type | Individual |
| Full Name | JEREME EDWIN MELLENTHIN |
| Credential | PA |
| Practice Address |
Us Dept of State M/med/qi, Sa-1 Washington DC 20522-0001 |
| Practice Telephone | 2026632453 |
| Practice Fax Number | 2026633247 |
| Mailing Telephone | 2026632453 |
| Mailing Fax Number | 2026633247 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103637 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
US DEPT OF STATE M/MED/QI, SA-1 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20522-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865080 | Ann Marie Tsewole | Nurse Practitioner | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2005-07-18 |
| 1366616112 | Helen Ames Stevens | Nurse Practitioner | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2008-04-14 |
| 1962675900 | Hayatte Sandra Tabbara | Pediatrics | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2008-04-10 |
| 1669645206 | Allen Arthur Ries | Internal Medicine | Us Dept of State, M/med/qi Sa-1, Washington, DC 20522-0001 | 2008-04-03 |
| 1326220765 | Barbara Ann Bowden | Nurse Practitioner | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2007-11-28 |
| 1275722605 | Glenda L Siegrist | Nurse Practitioner | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2007-10-22 |
| 1639368053 | Conrad V Schmitt | Psychiatry & Neurology | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2007-10-22 |
| 1417146978 | Joseph M Pate | Nurse Practitioner | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2007-10-22 |
| 1316136872 | Athena M Moundalexis | Family Medicine | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2007-10-22 |
| 1346439809 | Wayne F Quillin | Family Medicine | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669663209 | Melissa Susan Williams | Family Medicine | 2401 E Street N.w., Room L224, Sa-1, U.S. Department Of, Washington, DC 20522 | 2007-08-08 |
| 1770709669 | Ayan Hussein Ahmed Noor | Emergency Medicine | 2401 E Street Nw, Washington, DC 20522 | 2007-04-18 |
| 1316906183 | Eve C Gower | Physician Assistant | 2401 E Street Nw, Suite L-209, Washington, DC 20522 | 2006-03-21 |
| 1972736908 | Katherine Fountain Niles | Physician Assistant | Us Dept of State 2401 E St Nw, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2009-08-25 |
| 1407017494 | Jane Shadwell Li | Internal Medicine | Us Deot of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2008-06-23 |
| 1902086457 | Raul E. Isturiz | Internal Medicine | Us Dept of State M/med/qi Sa1, 2401 E Street Nw, Washington, DC 20522-0001 | 2007-11-13 |
| 1760675912 | Nancy L Alsace | Nurse Practitioner | Department of State Med Us Embassy Santiago, 2401 E Street Nw, Washington, DC 20522-0001 | 2007-08-21 |
| 1104027705 | Kristin Allison | Nurse Practitioner | State Office Med Services 2401 E St Nw, Sa 1, Room L209, Washington, DC 20522-0001 | 2007-05-30 |
| 1417163890 | Thu-hang T Tran | Internal Medicine | Of Medical Services-dept of State, Columbia Plaza Sa-1, 2401 E St, Nw, Washington, DC 20522-0001 | 2007-05-15 |
| 1659493823 | Peter T Guerin | Family Medicine | Us Dept of State Office of Med Services Quality Improve, 2401 E Street Nw, Washington, DC 20522-0001 | 2007-04-06 |
| Find all providers in zip 20522 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1619517950 | Jaclyn Finley | Physician Assistant | 57103 Curtis St, Washington, MI 48094-3844 | 2020-01-15 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20522 |
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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.