MELANIE S. KOCEVAR (NPI# 1306295084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306295084 |
Entity Type | Individual |
Full Name | MELANIE S. KOCEVAR |
Credential | DPM |
Practice Address |
2003 Stults Rd Ste 200 Huntington IN 46750-1291 |
Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
Practice Telephone | 8557667762 |
Practice Fax Number | 2605692494 |
Mailing Telephone | 2602668210 |
Mailing Fax Number | 2604585636 |
Enumeration Date | 2016-06-03 |
Last Update Date | 2019-12-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
07001308A | IN | Podiatric Medicine & Surgery Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | IN MEDICAL LICENSE | 41000343A | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
611 E Douglas Rd, Suite 406, Mishawaka, IN 465451464 | 5743356500 | 5743350771 |
Street Address |
2003 STULTS RD STE 200 |
City | HUNTINGTON |
State | IN |
Zip Code | 46750-1291 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457750457 | Michael Sands | Physical Therapist | 2001 Stults Road, Huntington, IN 46750 | 2014-08-15 |
1487917894 | Chelsi Huff | Speech-Language Pathologist | 1401 Park Hill Dr, Huntington, IN 46750 | 2012-06-20 |
1346540556 | Timothy Theye | Social Worker | 2860 Norhpark Ave., Huntington, IN 46750 | 2010-10-22 |
1710215090 | Manry Optometry, Inc. | Optometrist | 2932 Wal-mart Dr, Huntington, IN 46750 | 2009-11-25 |
1821114372 | Assisted Living Concepts Inc | Assisted Living Facility | 460 Forks of The Waba, Huntington, IN 46750 | 2007-03-22 |
1740316199 | Christine A Schnitz | Day Training/Habilitation Specialist | 435 Campus, Kids Kampus, Huntington, IN 46750 | 2007-02-27 |
1447397450 | Pathfinder Services Inc | Occupational Therapist | 435 Campus St, Huntington, IN 46750 | 2007-01-31 |
1487703781 | Sally Eileen Herman | Social Worker | 552 N Jefferson, Huntington, IN 46750 | 2007-01-09 |
1841356482 | Womens Medical Specialists | Obstetrics & Gynecology | 1060 Etna Avenue, Huntington, IN 46750 | 2006-12-28 |
1386748531 | Thomas J Ringenberg | Family Medicine | 941 Etna Ave, Huntington, IN 46750 | 2006-09-09 |
Find all providers in zip 46750 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144379520 | Peter Shapiro | Podiatrist | 246 W Neck Rd, Huntington, NY 11743-2455 | 2007-01-09 |
1356518633 | Stacey K Baptiste | Podiatrist | 158 E Main St, Suite 2, Huntington, NY 11743-2988 | 2008-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447784012 | Mohammed Ahmeduddin, LLC | Podiatrist | 11661 Archer Ln, Fishers, IN 46037-3201 | 2017-04-20 |
1457732133 | Angelic Footcare | Podiatrist | 8785 Keystone Xing, 1268, Indianapolis, IN 46240-2337 | 2015-06-17 |
1528317518 | Jerwana Laster | Podiatrist | 10935 Beechwood Dr E, Indianapolis, IN 46280-1222 | 2012-09-05 |
1881955664 | Manjit Kaur | Podiatrist | 301 Satori Pkwy Ste 150, Avon, IN 46123-6408 | 2012-06-07 |
1922240019 | Robert E. Wyatt | Podiatrist | 9134 Bradenton Rd, Fort Wayne, IN 46835-8892 | 2009-04-03 |
1801066691 | Dr. Thomas V. Tsoutsouris | Podiatrist | 1403 Franklin St, Michigan City, IN 46360-3707 | 2008-03-07 |
1285804070 | Dr. Thomas V. Tsoutsouris | Podiatrist | 7330 Indianapolis Blvd Ste 3, Hammond, IN 46324-2945 | 2008-03-07 |
1003099441 | Lafayette Foot and Ankle Clinic | Podiatrist | 2700 Lafayette St Ste 230, Fort Wayne, IN 46806-1100 | 2007-12-07 |
1376749168 | Srd Podiatry P.C. | Podiatrist | 1237 W. 82nd Lane, Merrillville, IN 46410 | 2007-06-27 |
1003031204 | Dr N W Worden PC | Podiatrist | 2206 Lincolnway E, Mishawaka, IN 46544-3301 | 2007-04-15 |
Find all providers with the same taxonomy |
City | HUNTINGTON |
Zip Code | 46750 |
Please comment or provide details below to improve the information on MELANIE S. KOCEVAR.
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.