DR. MELISSA D JOHNSON (NPI# 1548284896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548284896 |
| Entity Type | Individual |
| Full Name | DR. MELISSA D JOHNSON |
| Credential | DO |
| Practice Address |
714 Gravois Rd Suite 210 Fenton MO 63026-7727 |
| Mailing Address |
Po Box 23340 Saint Louis MO 63156-3340 |
| Practice Telephone | 6366609850 |
| Practice Fax Number | 6366609851 |
| Mailing Telephone | 6366609850 |
| Mailing Fax Number | 6366609851 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2004008550 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1720626047 | Melissa Johnson | Pharmacist | 5313 Paulsen St, Savannah, GA 31405-4800 | 2019-12-17 |
| 1528523867 | Melissa A. Johnson | Nurse Practitioner | 190 Jack Martin Blvd Bldg B3, Brick, NJ 08724-7728 | 2019-01-31 |
| 1144736893 | Melissa D Johnson | Occupational Therapy Assistant | 12610 Taylorwood Ln, Houston, TX 77070-5146 | 2017-12-18 |
| 1295245702 | Melissa Johnson | Counselor | 417 Biltmore Ave Ste 4b, Asheville, NC 28801-4541 | 2017-10-10 |
| 1144768748 | Melissa Johnson | Specialist/Technologist | 9717 W Kuse Rd, Frankfort, IL 60423-8003 | 2017-02-03 |
| 1871049379 | Melissa Johnson | Counselor | 12626 Forest Rd, Huntsburg, OH 44046-9737 | 2016-08-25 |
| 1326490020 | Melissa Lynn Johnson | Speech-Language Pathologist | 4104 S Grand Blvd, Spokane, WA 99203-2807 | 2016-07-06 |
| 1720450307 | Melissa Johnson | Registered Nurse | 4836 E Williams Dr, Phoenix, AZ 85054-6169 | 2015-10-22 |
| 1164892097 | Melissa Marie Johnson | Counselor | 793 Old Route 119 Hwy. N., Indiana, PA 15701-1372 | 2015-10-05 |
| Street Address |
714 GRAVOIS RD SUITE 210 |
| City | FENTON |
| State | MO |
| Zip Code | 63026-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856396 | Damon R. Broyles | Family Medicine | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7727 | 2005-07-21 |
| 1619441201 | Christina Lynn Roeder | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2019-01-16 |
| 1437638764 | Stacia Smith | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2018-08-08 |
| 1093231151 | Kristin Blair Aubuchon | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2017-08-20 |
| 1962949396 | Christine Michelle Rodesiler | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2017-01-24 |
| 1003360850 | Sheila Marie Mueller | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2016-08-10 |
| 1821456112 | Mia Glover | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2016-02-02 |
| 1144623786 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 714 Gravois Rd, Ste 115, Fenton, MO 63026-7723 | 2014-09-26 |
| 1558783217 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 714 Gravois Rd, Suite 220, Fenton, MO 63026-7723 | 2014-01-15 |
| 1508126889 | Vandana Dalton | Obstetrics & Gynecology | 714 Gravois Rd, Fenton, MO 63026-7723 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1699328914 | Alegis Care - Michigan PC | Family Medicine | 1400 S Highway Dr Ste 200, Fenton, MO 63026-2281 | 2019-07-17 |
| 1518438688 | Flash Care Pllc | Family Medicine | 17100 Silver Pkwy Ste B, Fenton, MI 48430-3468 | 2018-12-16 |
| 1396163390 | Kyleigh Naismith | Family Medicine | 2420 Owen Rd Ste A, Fenton, MI 48430-3417 | 2014-04-07 |
| 1447492376 | Homebound Healthcare LLC | Family Medicine | 1076 Stone Bluff Dr, Fenton, MO 63026-8515 | 2009-03-24 |
| 1417079377 | Medcare Physician LLC | Family Medicine | 2117 Bentley Plaza, Fenton, MO 63026 | 2007-04-04 |
| 1811014491 | Joseph Lavern Trollman Jr. | Family Medicine | 201 E Caroline St, Fenton, MI 48430-2105 | 2007-03-26 |
| 1073670154 | Donna Smith Benford | Family Medicine | 1100 Torrey Rd Ste 300, Fenton, MI 48430-3327 | 2007-01-02 |
| 1194827857 | Susan H Longe | Family Medicine | 435 N Leroy St, Fenton, MI 48430-2731 | 2006-09-02 |
| 1235231077 | James S Garfield | Family Medicine | 17100 Silver Pkwy, Ste D, Fenton, MI 48430-3468 | 2006-09-02 |
| 1801998513 | Shawndra Latoya Brown-foote | Family Medicine | 128 Matrix Commons Dr, Fenton, MO 63026-2935 | 2006-09-02 |
| Find all providers in FENTON | ||||
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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.