PETER RICHARD MELLO (NPI# 1316210545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316210545 |
Entity Type | Individual |
Full Name | PETER RICHARD MELLO |
Credential | PA-C, MPAS |
Practice Address |
118 Dudley St Providence RI 02905-2403 |
Mailing Address |
7 Woodland Rd Rochester MA 02770-2224 |
Practice Telephone | 4012734155 |
Practice Fax Number | 4012734155 |
Mailing Telephone | 5089544749 |
Enumeration Date | 2012-02-19 |
Last Update Date | 2012-02-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA4326 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00628 | RI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285915546 | Peter David Mello | Physical Therapist | 1225 F Northway, Darien, GA 31305-9143 | 2011-08-31 |
Street Address |
118 DUDLEY ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02905-2403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851385652 | Ritu Goel | Otolaryngology | 118 Dudley St, Providence, RI 02865 | 2005-09-07 |
1134659238 | Phyllis Jaime Dolcy | Physician Assistant | 118 Dudley St, Providence, RI 02905-2403 | 2017-06-13 |
1639527427 | Linette Perry | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2016-06-02 |
1477936078 | Ritu Goel, Md, Ent, PC | Otolaryngology | 118 Dudley St, Providence, RI 02865 | 2015-07-01 |
1366692568 | Steven J Giguere | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-09-24 |
1467611962 | Jan Casimir Groblewski | Otolaryngology | 118 Dudley St, Providence, RI 02905-2403 | 2008-06-09 |
1891966800 | Carol Simpson | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-03-18 |
1801067806 | Rachel Smith | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-03-18 |
1538330550 | Dola M Conceicao | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-03-18 |
1730379843 | Andrew E Burchard | Otolaryngology | 118 Dudley St, Providence, RI 02905-2403 | 2007-07-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
Find all providers in zip 02905 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356900591 | Ryan O'kelly | Physician Assistant | 285 Promenade St, Providence, RI 02908 | 2019-06-11 |
1558841999 | Lindsey Scherer | Physician Assistant | 825 Chalkstone Ave, Providence, RI 02908 | 2018-08-15 |
1134658339 | Kevin P Santilli | Physician Assistant | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-09 |
1194260984 | Brittany Hogan | Physician Assistant | 593 Eddy St, 6th Floor, Providence, RI 02903-4923 | 2017-01-03 |
1356789549 | Michelle Bernice Ristuccia | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2013-06-10 |
1356691430 | Kelvin Nam Doan | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2012-09-14 |
1588911457 | Britta Renzulli | Physician Assistant | 2 Dudley St, Suite 190, Providence, RI 02905-3236 | 2012-08-10 |
1174896211 | Stephanie Slone | Physician Assistant | 593 Eddy St, Providence, RI 02903-4923 | 2012-02-21 |
1679844807 | Joseph Paul Paciello | Physician Assistant | 2 Dudley St, Providence, RI 02905-3236 | 2012-01-19 |
1023306156 | Linhuang Han | Physician Assistant | 593 Eddy St, Main 4, Providence, RI 02903-4923 | 2011-07-11 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02905 |
Please comment or provide details below to improve the information on PETER RICHARD MELLO.
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.