MRS. MELANIE GLICK DONNELLY (NPI# 1265561989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265561989 |
| Entity Type | Individual |
| Full Name | MRS. MELANIE GLICK DONNELLY |
| Credential | PA-C |
| Practice Address |
4755 Ogletown Stanton Rd Ste 2670 Newark DE 19718-2067 |
| Mailing Address |
200 Hygeia Dr Ste 2300 Newark DE 19713-2049 |
| Practice Telephone | 3027332438 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C5-0000226 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932541984 | Melanie Donnelly | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2013-07-18 |
| 1902902919 | Melanie Julia Donnelly | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-09-16 |
| Street Address |
4755 OGLETOWN STANTON RD STE 2670 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307759 | Amanda Wojewodka Canavan | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-2200 | 2005-12-16 |
| 1962043877 | Billie Jo Thomas | Registered Nurse | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-2200 | 2019-10-02 |
| 1073051819 | Patricia Kelly | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-2200 | 2017-02-01 |
| 1265774889 | Lisa Christine Van Horn | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-4812 | 2013-03-21 |
| 1710208152 | Travis Christopher Fogelman | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-1763 | 2010-06-21 |
| 1588830194 | Justin B Guerin | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-2200 | 2008-05-03 |
| 1164543336 | Brian M Gorgoni | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-0002 | 2007-04-03 |
| 1316005416 | Scott C Chiccino | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-2072 | 2006-12-04 |
| 1306957600 | Jules R Fleischner | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-4812 | 2006-08-31 |
| 1821078742 | Norman Belair | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2670, Newark, DE 19718-2200 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992104962 | Jessica Nackley | Physician Assistant | 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 | 2014-08-15 |
| 1831304682 | Geraldine Redmond | Physician Assistant | 150 Bergen St., E - Level Rm# E346, Newark, NJ 07103 | 2007-05-14 |
| 1285856716 | Jill Rachel Mermagen | Physician Assistant | 4755 Stanton Ogletown Road, Newark, DE 19711 | 2007-05-03 |
| 1679794473 | North Jersey Orthopaedic Group | Physician Assistant | 90 Bergen St Ste 1200, Newark, NJ 07103-2425 | 2007-05-01 |
| 1073697330 | Krista Wark Rogaski | Physician Assistant | 90 Bergen St # 8100, Newark, NJ 07103-2425 | 2006-10-24 |
| 1043310527 | Anthony H Hamded | Physician Assistant | 111 Central Ave Fl 3, Newark, NJ 07102-1909 | 2006-09-24 |
| 1922614981 | Kalette Demarrais | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-09-16 |
| 1477162725 | Aidan Sullivan | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-23 |
| 1871064352 | Cassandra Barker | Physician Assistant | 150 Bergen St, Newark, NJ 07103-2496 | 2018-12-10 |
| 1881161198 | Kaitlyn A Tytka | Physician Assistant | 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 | 2018-10-25 |
| Find all providers in NEWARK | ||||
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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.