MELANIE S. GRGURICH


Address: 1506 Crown Dr, Kirksville, MO 63501-2553
Phone: 6606274493

MELANIE S. GRGURICH (NPI# 1316922214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316922214
Entity Type Individual
Full Name MELANIE S. GRGURICH
Other Name MELANIE S HILL
Credential D.O.
Practice Address 1506 Crown Dr
Kirksville
MO 63501-2553
Mailing Address 1416 Crown Dr
Kirksville
MO 63501-2548
Practice Telephone 6606274493
Practice Fax Number 6606274288
Mailing Telephone 6606275757
Mailing Fax Number 6606275802
Enumeration Date 2005-12-13
Last Update Date 2012-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 111208 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 244638110 05

Office Location

Street Address 1506 CROWN DR
City KIRKSVILLE
State MO
Zip Code 63501-2553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972127827 Northeast Missouri Health Council, Inc Dietitian, Registered 1506 Crown Dr, Kirksville, MO 63501 2020-06-05
1902436850 Amy Carroll Health Educator 1506 Crown Dr, Kirksville, MO 63501-2553 2020-01-20
1083129167 Keely Dyan Schoonover Registered Nurse 1506 Crown Dr, Kirksville, MO 63501-2553 2017-12-11
1023563632 Franchesca L Cook Physician Assistant 1506 Crown Dr, Kirksville, MO 63501-2553 2016-08-24
1962853101 Jennifer A Jackson Registered Nurse 1506 Crown Dr, Kirksville, MO 63501-2553 2016-06-29
1740600253 Crystal Redman Family Medicine 1506 Crown Dr, Kirksville, MO 63501-2553 2014-04-23
1265758395 Shannon M Hatfield Nurse Practitioner 1506 Crown Dr, Kirksville, MO 63501-2553 2010-04-14
1427123942 Kelly Mcdermott Freeland Nurse Practitioner 1506 Crown Dr, Kirksville, MO 63501-2553 2006-11-21
1528031770 Joseph W Novinger Family Medicine 1506 Crown Dr, Kirksville, MO 63501-2553 2006-02-08
1720064413 Margaret Wilson Family Medicine 1506 Crown Dr, Kirksville, MO 63501-2553 2005-12-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245855642 Tiffany Anna Athon Pharmacist Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 2020-06-11
1649829425 Jillian Jo Pulis Speech-Language Pathologist 1300 S Cottage Ave, Kirksville, MO 63501 2019-09-05
1023662319 Leah Dawn Murphy Occupational Therapy Assistant 1705 E La Harpe St, Kirksville, MO 63501 2019-07-25
1902302912 Brittney Frances Snelling Specialist/Technologist 26820 State Hwy 11, Kirksville, MO 63501 2018-03-30
1063931434 Kara Wehmeyer Specialist/Technologist 100 East Normal, Kirksville, MO 63501 2017-09-16
1285080796 Hawkins Boone Mecham General Practice 407 S Main St # 2, Kirksville, MO 63501 2016-05-13
1003287848 Lacosta Gaines Nurse Practitioner 1607 South Baltimore, Kirksville, MO 63501 2015-10-19
1427442573 Madi Hoppe Specialist/Technologist 23571 Crest Trail, Kirksville, MO 63501 2015-03-26
1407247133 High Hope Employment Services, Inc. Day Training, Developmentally Disabled Services 906 East Shepherd Avenue, Kirksville, MO 63501 2015-02-17
1497069694 Ella Marie Callison Physician Assistant 1611 S Baltimore St Ste A, Kirksville, MO 63501 2010-07-29
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487820254 Marino Phillips and Early Clinic LLC Family Medicine 1 Crown Dr Ste 200, Kirksville, MO 63501-2510 2008-05-01
1205044146 Justin David Puckett Family Medicine 2004 N Baltimore St Ste A, Kirksville, MO 63501-5107 2007-05-21
1356467898 Robert A Parsonson Family Medicine 401 S. Baltimore Street, Kirksville, MO 63501-3725 2007-03-22
1548339484 Ferrel A Moots Family Medicine 24252 State Highway 11, Kirksville, MO 63501 2006-11-07
1316045677 Robert W Sparks Family Medicine 2200 S Halliburton St, Kirksville, MO 63501-4651 2006-09-20
1972609279 John Robert Sparks Family Medicine 1410 Crown Drive, Kirksville, MO 63501-0703 2006-09-15
1063498210 Ronald Leland Phillips Family Medicine 1 Crown Dr, Suite 200, Kirksville, MO 63501-2510 2005-12-20
1841275740 Wayne R Hawkins Family Medicine 1510 Crown Dr, Kirksville, MO 63501-2553 2005-12-13
1093790966 Gemma A Ciesemier Family Medicine 610 Rosewood Dr, Kirksville, MO 63501-2477 2005-12-13
1477538379 John R Knudsen Family Medicine 600 W. Jefferson, Kirksville, MO 63501 2005-12-13
Find all providers in KIRKSVILLE

Competitor

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City KIRKSVILLE
Zip Code 63501

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Dataset Information

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.

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