MELANIE L PETRO, MD, LLC (NPI# 1689082273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689082273 |
| Entity Type | Organization |
| Organization Name | MELANIE L PETRO, MD, LLC |
| Practice Address |
1995 Ves Trace Cir Vestavia AL 35216-1372 |
| Practice Telephone | 2055688012 |
| Mailing Telephone | 2055688012 |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |
| Authorized Official Name | MELANIE L PETRO (OWNER) |
| Authorized Official Telephone | 2055688012 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
27512 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1995 VES TRACE CIR |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35216-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659637684 | Austin Adams | Otolaryngology | 2700 Highway 280 S Ste 300w, Mountain Brk, AL 35223 | 2012-04-04 |
| 1033413489 | Roger Carlisle Suttle Jr | Otolaryngology | 414 S 4th St, Gadsden, AL 35901-5215 | 2010-12-28 |
| 1649471012 | Carey Joseph Nease | Otolaryngology | 423 Medical Center Dr Sw, Fort Payne, AL 35968-3421 | 2007-05-31 |
| 1164599825 | Gustavo Adolfo Diaz | Otolaryngology | 411 N Section St Ste 5, Fairhope, AL 36532-2650 | 2006-11-29 |
| 1801989918 | R. Don Bryan, M.d. Pa | Otolaryngology | 1022 1st St North, Suite 203, Alabaster, AL 35007 | 2006-10-02 |
| 1235117607 | Jeffrey Scott Robertson | Otolaryngology | 2001 Providence Park, Birmingham, AL 35242-4680 | 2006-01-05 |
| 1023421468 | Alabama Ear, Nose & Throat Specialists, LLC | Otolaryngology | 302 Merchants Walk, Suite 100, Tuscaloosa, AL 35406-2290 | 2014-06-03 |
| 1275828659 | Imc Otolaryngology Facial Plastic & Reconstructive Surgery, P.C. | Otolaryngology | 3401 Medical Park Dr, Bldg 1, Suite 103, Mobile, AL 36693-3318 | 2011-06-14 |
| 1033357744 | Scott A. Charlton, Md, PC | Otolaryngology | 101 E Brunson St, Suite 102, Enterprise, AL 36330-2526 | 2009-02-03 |
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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.