DR. REBECCA ELLEN MELVIN (NPI# 1609079409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609079409 |
| Entity Type | Individual |
| Full Name | DR. REBECCA ELLEN MELVIN |
| Credential | D.O. |
| Practice Address |
1475 Kisker Rd Ste 200 Saint Charles MO 63304 |
| Mailing Address |
1475 Kisker Rd Ste 200 Saint Charles MO 63304-8788 |
| Practice Telephone | 6364985970 |
| Practice Fax Number | 6364985975 |
| Mailing Telephone | 6364985970 |
| Mailing Fax Number | 6364985975 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2017007800 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 125-049-138 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2017007800 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | P7810 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125-049-138 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1475 Kisker Rd Ste 200, Saint Charles, MO 63304 | 6364985970 | 6364985975 |
| Street Address |
1475 KISKER RD STE 200 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194786434 | Katherine M Dewey | Obstetrics & Gynecology | 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 | 2006-03-28 |
| 1639583073 | Megan Renner | Family Medicine | 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 | 2014-06-13 |
| 1073875928 | Nicholas Moore | Family Medicine | 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 | 2012-06-15 |
| 1437380276 | Mian Rizwan | Internal Medicine | 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 | 2009-07-28 |
| 1477564706 | Rimki Rana | Family Medicine | 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 | 2006-08-11 |
| 1437165834 | Thomas P Gutmann | Internal Medicine | 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
| 1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
| 1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
| 1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
| 1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
| 1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
| 1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
| Find all providers in zip 63304 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477926624 | Michaele Mary Penkoske | Internal Medicine | 24 Lake Forest Dr, Saint Charles, MO 63301-4524 | 2015-11-10 |
| 1194958587 | Young Sun Kim | Internal Medicine | 37w755 Il Route 38, Suite A, Saint Charles, IL 60175-7507 | 2009-09-01 |
| 1134356017 | Tarig Abdelhameed Sayed Omer | Internal Medicine | 50 Scenic Cove Ln, Saint Charles, MO 63303-6595 | 2009-06-17 |
| 1265597819 | Raul Enad Md LLC | Internal Medicine | 533 Jefferson St, Saint Charles, MO 63301-2702 | 2006-12-26 |
| 1831280783 | Healthguard Medical Network Sc | Internal Medicine | 40w222 La Fox Road, Suite K, Saint Charles, IL 60175-7625 | 2006-09-27 |
| 1528078276 | Gene Roxas | Internal Medicine | 533 Jefferson St., Saint Charles, MO 63301-2702 | 2006-08-08 |
| 1366408486 | Edith A. Levine | Internal Medicine | 7 Jason Ct, Saint Charles, MO 63304-1233 | 2006-04-26 |
| 1609841303 | Tejaswini R. Nayak | Internal Medicine | 1820 Zumbehl Rd, Suite 120-a, Saint Charles, MO 63303-2761 | 2006-02-17 |
| 1265893432 | St. Charles Family Clinic Pllc | Internal Medicine | 611 W Belle Ave, Saint Charles, MI 48655-1611 | 2016-03-15 |
| 1750769311 | Terra Deneb Schaetzel Thorndike | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2015-05-14 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63304 |
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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.