DR. MELODY JOY DERRICK (NPI# 1407945827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407945827 |
| Entity Type | Individual |
| Full Name | DR. MELODY JOY DERRICK |
| Other Name | DR. MELODY JOY DERRICK |
| Credential | M.D. |
| Practice Address |
25 N Winfield Rd Winfield IL 60190-1295 |
| Practice Telephone | 6302600600 |
| Practice Fax Number | 6302601370 |
| Mailing Telephone | 6302600600 |
| Mailing Fax Number | 6302601370 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-114979 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036114979 | 05 | |
| IL | RR MEDICARE (INDIVIDUAL) | P00386296 | 01 |
| Street Address |
25 N WINFIELD RD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499899 | Teresa Smith | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2005-07-05 |
| 1396358412 | Stephanie Bryan | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1379 | 2020-08-28 |
| 1629602560 | Amanda Berndt | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2020-03-01 |
| 1003454943 | Joelle Marie Tolentino | Registered Nurse | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-12-10 |
| 1073157582 | Haley Young | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-10-29 |
| 1316406440 | Lisa Wehbe | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-03-18 |
| 1821562281 | Julianne Reinbold | Speech-Language Pathologist | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-01-17 |
| 1023591054 | Ekchhanak Leaders Rosenkranz | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-09-14 |
| 1376038166 | Brittany Wienkes | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-06-25 |
| 1841789583 | Sheela Bhayani | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190 | 2018-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1316353006 | Nwmc Winfield Physician Practices LLC | Family Medicine | 125 Henry Lane, Winfield, AL 35594-0000 | 2014-07-02 |
| 1770921280 | Bfm Enterprises, LLC | Family Medicine | 2775 Hwy 43, Winfield, AL 35594-5263 | 2013-06-06 |
| 1912226945 | Brent G Ballard | Family Medicine | 2775 Us Highway 43, Winfield, AL 35594-5263 | 2010-06-01 |
| 1588810956 | Hana Tsege Hagos | Family Medicine | 11924 Winfield Rd, Winfield, WV 25213-7913 | 2008-08-17 |
| 1942403670 | Terry Gene Jones | Family Medicine | 1806 Pinecrest Cir, Winfield, KS 67156-5500 | 2007-06-08 |
| 1821150855 | Hatfield Physician Services, Inc. | Family Medicine | 200 Caraway Dr, Suite 1, Winfield, AL 35594-5048 | 2006-12-15 |
| 1144331356 | Winfield Family & Occupational Med PC | Family Medicine | 191 Carraway Drive, Suite A, Winfield, AL 35594 | 2006-08-31 |
| 1053425934 | Bryan C Davis | Family Medicine | 1305 E 19th Ave, Winfield, KS 67156-5201 | 2006-08-18 |
| 1902872633 | Daniel R Parker | Family Medicine | 100 Eighth Street, Suite 2, Winfield, MO 63389 | 2006-02-23 |
| Find all providers in WINFIELD | ||||
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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.