MICHAEL MELLON (NPI# 1588646889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588646889 |
| Entity Type | Individual |
| Full Name | MICHAEL MELLON |
| Credential | CRNA |
| Practice Address |
1500 Highlands Dr Lititz PA 17543 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7177823282 |
| Practice Fax Number | 7172318964 |
| Mailing Telephone | 7177823282 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN261026L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001746512 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5000 W Tilghman St, Ste 240, Allentown, PA 181049109 | 6103954044 | 6103955693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215983036 | Michael John Mellon | Chiropractor | 208 E Hughitt St, Iron Mountain, MI 49801-2910 | 2006-05-25 |
| 1598824104 | Michael H. Mellon | Allergy & Immunology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-12-08 |
| 1023088804 | Michael W Mellon | Psychologist | 3333 Burnet Avenue, Ml 5021, Cincinnati, OH 45229-3039 | 2006-01-25 |
| Street Address |
1500 HIGHLANDS DR |
| City | LITITZ |
| State | PA |
| Zip Code | 17543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122281 | Karine Delroux | Family Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-16 |
| 1669092953 | Saisaketh Javvaji | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-16 |
| 1609495506 | Katerina Grynyshin | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-10 |
| 1124647276 | Angela Marie Montalvo | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-09 |
| 1699394742 | Damanjeet Singh Gill | Student in an Organized Health Care Education/Training Program | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-09 |
| 1578182630 | Nathan Zimmerman | Family Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-09 |
| 1366085458 | John Linderman | Registered Nurse | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-10-22 |
| 1831759950 | Jason-paul Sanjay Maragh | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-20 |
| 1720648884 | Sonia Young Im Yoo | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-19 |
| 1730749599 | Nicholas Lefevre | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306883 | Lauren Sue Topper | Pharmacist | 740 South Broad Street, Lititz, PA 17543 | 2018-11-27 |
| 1710478540 | Lancaster General Medical Group | Family Medicine | 51 Peters Rd Ste 101, Lititz, PA 17543 | 2018-05-29 |
| 1679062350 | Saima Sarmin Mukta | Family Medicine | Upmc Pinnacle Lititz, 1500 Highlands Dr, Lititz, PA 17543 | 2018-05-08 |
| 1073027488 | Bradford Todd Nicarry | Massage Therapist | 901 Rothsville Rd, Lititz, PA 17543 | 2017-11-21 |
| 1962929539 | Megan Sham | Occupational Therapist | 206 Starflower Vw, Lititz, PA 17543 | 2017-08-24 |
| 1124566815 | Stephanie Schultheisz | Speech-Language Pathologist | 58 E Center St, Lititz, PA 17543 | 2017-02-02 |
| 1720323975 | Gregory Robert James O'neill | Chiropractor | 766 Lititz Pike, Lititz, PA 17543 | 2012-11-29 |
| 1508132234 | J. Cornack Therapy Group LLC | Early Intervention Provider Agency | 604 Cournthouse Cir, Lititz, PA 17543 | 2012-03-27 |
| 1124338793 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1001 Buckwalter Road, Lititz, PA 17543 | 2010-10-18 |
| 1518289420 | Pamela Lynn Noden | Counselor | 2320 Rothsville Rd Ste 103a, Lititz, PA 17543 | 2010-02-18 |
| Find all providers in zip 17543 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869346 | David Wayne Culp | Nurse Anesthetist, Certified Registered | 51 Duffield Dr, Lititz, PA 17543-7974 | 2005-08-29 |
| 1750801908 | Pinnacle Health Regional Physicians | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2017-06-20 |
| 1053644385 | Robert E. Strang | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2009-09-18 |
| 1235378704 | Steven C Vandevander | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2009-02-06 |
| 1164537148 | Lancaster Hma Physician Management Inc. | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2006-08-20 |
| 1841233392 | Mary Murphy | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2006-06-13 |
| 1831132331 | Coral D Fassnacht | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2006-06-13 |
| 1033151121 | Kathleen Harden | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2006-06-12 |
| 1144262106 | Karen Thomas | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2006-06-12 |
| 1932146644 | Wallace L Blore | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2006-06-01 |
| Find all providers in LITITZ | ||||
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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.