DR. YELENA MELYAKOVA (NPI# 1386691871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386691871 |
| Entity Type | Individual |
| Full Name | DR. YELENA MELYAKOVA |
| Credential | M.D. |
| Practice Address |
1103 W Liberty St Farmington MO 63640-1921 |
| Practice Telephone | 5737566751 |
| Practice Fax Number | 5737563495 |
| Mailing Telephone | 5737566751 |
| Mailing Fax Number | 5737563495 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
2005022499 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1103 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834187 | Raul A Borrego | Internal Medicine | 1103 W Liberty St, Farmington, MO 63640-1921 | 2006-01-04 |
| 1568985802 | Piyush Srivastava | Pediatrics | 1103 W Liberty St, Farmington, MO 63640-1921 | 2017-07-19 |
| 1457896664 | Jason Edward Portell | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-12-23 |
| 1154875169 | Megan D Huhman | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-08-08 |
| 1427401017 | Lauren Oberle | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-07-19 |
| 1154771715 | Joan Azoury | Obstetrics & Gynecology | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-06-14 |
| 1447612601 | Andrea Fisher | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-03-25 |
| 1578948188 | Reshma Eugene | Family Medicine | 1103 W Liberty St, Farmington, MO 63640-1921 | 2015-07-24 |
| 1093193377 | John David Edward Cooper | Obstetrics & Gynecology | 1103 W Liberty St, Farmington, MO 63640 | 2015-05-07 |
| 1346641115 | Tara R Wadlow | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327369 | James E Judge | Internal Medicine | 7 Rosewood Dr, Farmington, Farmington, CT 06032-1114 | 2005-06-22 |
| 1407239445 | Geps Physician Group of New Mexico, PC | Internal Medicine | 806 W Maple St, Farmington, NM 87401-5631 | 2015-07-08 |
| 1669812715 | Germine Sameh Labib Soliman | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-5215 | 2013-07-02 |
| 1093152050 | Dawn Elise Murphy | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2013-05-31 |
| 1578806840 | Jaclyn Susan Olsen | Internal Medicine | 263 Farmington Ave, Graduate Medical Education - Lm068, Farmington, CT 06030-1921 | 2013-04-04 |
| 1871617159 | Karina M Berg | Internal Medicine | 263 Farmington Ave, Geriatric Medicine, Farmington, CT 06030-6232 | 2007-03-19 |
| 1407900228 | Yazeed S Maghaydah | Internal Medicine | 263 Farmington Ave, Geriatric Medicine, Farmington, CT 06030-6232 | 2007-01-22 |
| 1841223286 | Jatupol Kositsawat | Internal Medicine | 263 Farmington Ave, Geriatric Dept., Farmington, CT 06030-6232 | 2006-07-09 |
| 1396790150 | Edward Kompare | Internal Medicine | 407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5954 | 2006-05-23 |
| 1043293780 | Anne M Kenny | Internal Medicine | 263 Farmington Ave, Uconn/geriatric Associates, Farmington, CT 06030-0001 | 2005-11-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.