MELISSA K SAMUELSSON (NPI# 1548273303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548273303 |
| Entity Type | Individual |
| Full Name | MELISSA K SAMUELSSON |
| Credential | M.D. |
| Practice Address |
295 Phalen Blvd Saint Paul MN 55130-2400 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6514956603 |
| Practice Fax Number | 6514956201 |
| Mailing Telephone | 9528835375 |
| Mailing Fax Number | 6512547904 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
256830 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
295 PHALEN BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901875 | Gwendolyn Martinique Kosevich | Nurse Practitioner | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2005-09-08 |
| 1811536865 | Kathryn Ann Hill | Occupational Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2019-12-21 |
| 1659854123 | Carla Klassen | Physician Assistant | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2018-09-11 |
| 1447747563 | Rishav Aggarwal | Neurological Surgery | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2018-04-13 |
| 1528573458 | Nancy Ann Mack | Occupational Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-12-14 |
| 1720507254 | Aditi Anil Velankar | Physical Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-09-15 |
| 1811419120 | Tamara Roseanne Nascene | Occupational Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-07-10 |
| 1922537992 | Jacque Therese Brumm | Nurse Practitioner | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-06-05 |
| 1811420441 | Zachary Bergman | Surgery | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-04-10 |
| 1063963577 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265790414 | Brian Michael Krasnow | Psychiatry & Neurology | 1746 Hillcrest Avenue, Saint Paul, MN 55116-2151 | 2012-04-25 |
| 1275792293 | Ali Emami | Psychiatry & Neurology | 310 Smith Ave N Ste 440, Saint Paul, MN 55102-2316 | 2008-06-05 |
| 1366634255 | Julie Estelle Macbain Hanna | Psychiatry & Neurology | 225 Smith Avenue N, Suite 201, Saint Paul, MN 55102-2697 | 2007-08-14 |
| 1861881625 | Stephanie Marie Weinberger | Psychiatry & Neurology | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2015-01-16 |
| 1912264086 | Jessica Lee Winslow | Psychiatry & Neurology | 225 Smith Ave N Ste 201, Saint Paul, MN 55102 | 2012-04-13 |
| 1487938460 | Priyanka Sabharwal | Psychiatry & Neurology | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2011-10-07 |
| 1013202100 | Brittani Lauren Conway | Psychiatry & Neurology | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2011-06-16 |
| 1790074136 | Natasha Kohli | Psychiatry & Neurology | 640 Jackson St, Saint Paul, MN 55101-2502 | 2011-04-06 |
| 1972823623 | Vikram Jadhav | Psychiatry & Neurology | 640 Jackson St, Saint Paul, MN 55101-2502 | 2010-06-04 |
| 1285963793 | Dimitrios Giannakidis | Psychiatry & Neurology | 225 Smith Ave N Ste 500, Saint Paul, MN 55102-2545 | 2009-12-11 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
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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.