MELISSA M BACON (NPI# 1356458012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356458012 |
| Entity Type | Individual |
| Full Name | MELISSA M BACON |
| Other Name | MELISSA M NUNN |
| Credential | DO |
| Practice Address |
113 Mcrae Pt Madison MS 39110-6579 |
| Practice Telephone | 5072507030 |
| Mailing Telephone | 5072507030 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 24598 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09336744 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871840132 | Melissa M Bacon | Speech-Language Pathologist | 1756 Bee Creek Rd, Special Services -- Claim Care, Branson, MO 65616-9395 | 2012-08-06 |
| Street Address |
113 MCRAE PT |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
| 1316212137 | Robert Lewis Goldenberg | Obstetrics & Gynecology | 126 Race Hill Rd, Madison, CT 06443-1627 | 2012-03-12 |
| 1386897007 | Robert Dave Auerbach | Obstetrics & Gynecology | 29 Kimberly Ln, Madison, CT 06443-2080 | 2008-10-25 |
| 1932399193 | Heidi Wendell Brown | Obstetrics & Gynecology | 600 Highland Ave Box 6188, Department of Ob/gyn, Madison, WI 53792-0001 | 2007-07-25 |
| 1275731929 | Leslie F Mason | Obstetrics & Gynecology | 115 Fountains Blvd, Suite A, Madison, MS 39110-6344 | 2007-07-04 |
| 1326087248 | Jacqueline Y Sylvester | Obstetrics & Gynecology | 235 Portal Lane Suite A, Madison, AL 35758-5827 | 2006-06-06 |
| 1245295393 | Beth A Wiedel | Obstetrics & Gynecology | 5801 Research Park Boulevard, Suite 400, Madison, WI 53719 | 2006-04-20 |
| 1659336642 | Cynthia K. Wautlet | Obstetrics & Gynecology | University of Wi Medical Foundation, 4122 East Towne Blvd, Madison, WI 53704 | 2006-04-20 |
| Find all providers in MADISON | ||||
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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.