MR. EDWIN MELENDEZ II JR. (NPI# 1568854370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568854370 |
| Entity Type | Individual |
| Full Name | MR. EDWIN MELENDEZ II JR. |
| Practice Address |
4112 Harbour Pointe Blvd Sw Ste 100 Mukilteo WA 98275-5457 |
| Mailing Address |
2616 Kwina Rd Bellingham WA 98226-9291 |
| Practice Telephone | 2067907598 |
| Mailing Telephone | 3603806950 |
| Mailing Fax Number | 3603842350 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2616 Kwina Rd, Bellingham, WA 982269291 | 3603806950 | 3603842350 |
| Street Address |
4112 HARBOUR POINTE BLVD SW STE 100 |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882019 | Laboratory Corporation of America | Clinical Medical Laboratory | 4112 Harbour Pointe Blvd Sw Ste 100, Mukilteo, WA 98275-5457 | 2018-12-16 |
| 1407304587 | Julie Ann Hornsby | Nurse Practitioner | 4112 Harbour Pointe Blvd Sw Ste 100, Mukilteo, WA 98275 | 2016-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. EDWIN MELENDEZ II JR..
| 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.