GERARDO R MELGAR (NPI# 1619903820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619903820 |
| Entity Type | Individual |
| Full Name | GERARDO R MELGAR |
| Credential | MD |
| Practice Address |
1057 12th Ave Longview WA 98632-2509 |
| Practice Telephone | 3606363892 |
| Practice Fax Number | 3604141114 |
| Mailing Telephone | 3606363892 |
| Mailing Fax Number | 3604141114 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00034077 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7086523 | 05 |
| Street Address |
1057 12TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902872427 | Sheri Lee Phillips | Registered Nurse | 1057 12th Ave, Longview, WA 98632-2509 | 2006-02-24 |
| 1073149118 | Trishia D Venegas | Registered Nurse | 1057 12th Ave, Longview, WA 98632-2509 | 2020-03-20 |
| 1538708706 | Tara Roeder | Nurse Practitioner | 1057 12th Ave, Longview, WA 98632-2509 | 2020-01-05 |
| 1568000347 | Kathryn Elizabeth Thellman | Nurse Practitioner | 1057 12th Ave, Longview, WA 98632-2509 | 2019-12-12 |
| 1811534449 | Janie K Sabo | Registered Nurse | 1057 12th Ave, Longview, WA 98632-2509 | 2019-12-02 |
| 1992360200 | Lucie M Russ | Counselor | 1057 12th Ave, Longview, WA 98632-2509 | 2019-05-02 |
| 1952965279 | Stephanie Dianne Baxter | Counselor | 1057 12th Ave, Longview, WA 98632 | 2019-04-23 |
| 1073079984 | Lyndsey Smith | Dental Hygienist | 1057 12th Ave, Longview, WA 98632-2509 | 2019-02-15 |
| 1336626589 | Aleksandr Rubinov | Dentist | 1057 12th Ave, Longview, WA 98632 | 2018-07-20 |
| 1114412400 | Paramjit Gill | Dentist | 1057 12th Ave, Longview, WA 98632-2509 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| 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 |
|---|---|---|---|---|
| 1841843075 | Mhpc Dallas Pllc | Internal Medicine | 3080 N Eastman Rd Ste 101, Longview, TX 75605-7978 | 2019-07-17 |
| 1306210620 | Edward Eugene Smith Md | Internal Medicine | 240 Imperial Dr, Longview, WA 98632-0704 | 2015-11-24 |
| 1972992683 | Sarat Jampana LLC | Internal Medicine | 1202 Secluded Ln, Longview, TX 75604-2859 | 2015-01-19 |
| 1801208673 | Makona Snf, LLC | Internal Medicine | 1016 Riverwood Dr, Longview, TX 75604-6229 | 2014-05-28 |
| 1093145070 | Raj Kumar Akula | Internal Medicine | 1130 E Hawkins Pkwy, Apt 6301, Longview, TX 75605-8002 | 2013-11-12 |
| 1558705814 | Jessica Small Garner | Internal Medicine | 701 E Marshall Ave Ste 200, Longview, TX 75601-5544 | 2013-04-17 |
| 1730453051 | Wendell D. Daniels M.d., P.a. | Internal Medicine | 515 N. 3rd St., Longview, TX 75606 | 2012-03-05 |
| 1467689158 | Helen C Daniel | Internal Medicine | 802 Medical Dr Ste 201, Longview, TX 75605-5202 | 2009-06-19 |
| 1235394487 | Nishit Kumar Srivastava | Internal Medicine | 701 E Marshall Ave Ste 400, Longview, TX 75601-5595 | 2008-07-26 |
| 1649459595 | Sanjay G Reddy | Internal Medicine | 802 Medical Dr Ste 205, Longview, TX 75605-5208 | 2007-10-29 |
| Find all providers in LONGVIEW | ||||
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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.