MELANIE ROSE PENDERGRASS (NPI# 1508201799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508201799 |
| Entity Type | Individual |
| Full Name | MELANIE ROSE PENDERGRASS |
| Credential | D.O. |
| Practice Address |
1 Genesys Pkwy Grand Blanc MI 48439-8065 |
| Mailing Address |
1460 N Center Rd Burton MI 48509-1429 |
| Practice Telephone | 8106065000 |
| Mailing Telephone | 8107154300 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101020345 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336508282 | Melanie Methvin Pendergrass | Nurse Practitioner | 600 E Government St, Pensacola, FL 32502-6136 | 2016-02-21 |
| Street Address |
1 GENESYS PKWY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333498 | Statcare PC | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2005-06-01 |
| 1699389627 | Onyinyechi V Anukem | Psychologist | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-09-08 |
| 1437763737 | Jordan Thomas Bozzo | Nurse Anesthetist, Certified Registered | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-09-03 |
| 1871106302 | Tiffany Marie Polzin | Psychologist | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-25 |
| 1790396349 | Aark Hospitalist Pllc | General Acute Care Hospital | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-16 |
| 1306456801 | Matthew Thomas Keely | Registered Nurse | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-09 |
| 1134747314 | Hamza Chaudhry | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-07-14 |
| 1881211480 | Ahmed Elzein | Student in an Organized Health Care Education/Training Program | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-30 |
| 1932726445 | Guntas Sangha | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-30 |
| 1003432212 | Soraya Darwood | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| 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 |
|---|---|---|---|---|
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1144672189 | Eric Da Silva | Family Medicine | 1 Genesys Pkwy Ste 4595, Grand Blanc, MI 48439-8065 | 2016-07-01 |
| 1912354986 | Michigan Independent Physicians Association, Plc | Family Medicine | 12821 S Saginaw St, D13, Grand Blanc, MI 48439-2457 | 2016-05-19 |
| 1306251608 | Rabia Chaudry | Family Medicine | 8447 Holly Rd Ste A, Grand Blanc, MI 48439 | 2014-06-25 |
| 1497168686 | Konstance Kasimos | Family Medicine | 1 Genesys Parkway Suite 4595, Genesys Regional Medical Center Medical Education Dept., Grand Blanc, MI 48439 | 2014-06-05 |
| 1902239452 | Curtis Detlor Irvine | Family Medicine | 6057 Fountain Pointe, Apt 9, Grand Blanc, MI 48439-7738 | 2013-08-19 |
| 1629380696 | Meggan Robinson | Family Medicine | One Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2010-07-07 |
| 1922235746 | Holly Family Medicine Plc | Family Medicine | 2595 Genesys Pkwy, Grand Blanc, MI 48439-8069 | 2009-06-19 |
| 1700049616 | Robert Bouvier Md, Plc | Family Medicine | 12741 S Saginaw Street, Ste 402, Grand Blanc, MI 48439 | 2008-07-10 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.