MELISSA L BACH (NPI# 1720072531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720072531 |
| Entity Type | Individual |
| Full Name | MELISSA L BACH |
| Credential | W.H.N.P. |
| Practice Address |
1111 Lighthouse Lane Goshen IN 46526-3824 |
| Practice Telephone | 5745330348 |
| Practice Fax Number | 5745330277 |
| Mailing Telephone | 5745330348 |
| Mailing Fax Number | 5745330277 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
28121790 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 000000390739 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000844 | Melissa A Bach | Pharmacist | 2295 Towne Lake Pkwy, Woodstock, GA 30189-5520 | 2020-10-13 |
| Street Address |
1111 LIGHTHOUSE LANE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922092733 | Kenneth D Petersen | Obstetrics & Gynecology | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-07 |
| 1073722179 | Anthereca E Lane | Obstetrics & Gynecology | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2007-05-22 |
| 1437183605 | Fairhaven Obstetrics & Gynecology, Inc | Nurse Practitioner | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2006-07-11 |
| 1407840952 | Fred A Simon Jr. | Obstetrics & Gynecology | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-09 |
| 1003800814 | Julia A Gautsche | Advanced Practice Midwife | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-07 |
| 1548254352 | Rachel A Johns | Advanced Practice Midwife | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-07 |
| 1366436172 | Vernon L Maes | Obstetrics & Gynecology | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679623367 | Joann Fogg | Nurse Practitioner | 7 Coates Drive Suite 4, Goshen, NY 10924 | 2007-01-12 |
| 1902927965 | Alison J Mattern | Nurse Practitioner | 1122 Professional Dr, Goshen, IN 46526-3819 | 2007-04-03 |
| 1336279496 | Sharon A Garcia | Nurse Practitioner | 30 Hatfield Ln, Suite 105, Goshen, NY 10924-6766 | 2007-03-07 |
| 1437183605 | Fairhaven Obstetrics & Gynecology, Inc | Nurse Practitioner | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077572 | Tara Lynette Flanagan | Nurse Practitioner | 2629 Waterfront Parkway East Dr Ste 375, Indianapolis, IN 46214-2026 | 2019-11-11 |
| 1184266827 | Bethany L. Odero | Nurse Practitioner | 550 University Blvd Ste 2041, Indianapolis, IN 46202-5149 | 2019-10-15 |
| 1487201166 | Bonnie Wellman | Nurse Practitioner | 1403 Allison Blvd, Auburn, IN 46706-3205 | 2019-08-19 |
| 1396285656 | Wendy K Carter | Nurse Practitioner | 720 Eskenazi Avenue, Suite F2-600, Eskenazi Health, Indianapolis, IN 46202 | 2017-03-06 |
| 1972042463 | Deborah Jean Dilk | Nurse Practitioner | 8067 N Oliver Ln, Dupont, IN 47231-9565 | 2017-02-16 |
| 1386183937 | Juanita Lock | Nurse Practitioner | 10051 N State Road 62, Canaan, IN 47224-9759 | 2017-02-15 |
| 1073975546 | Margaret Cockshott | Nurse Practitioner | 640 Eskenazi Ave, Fifth Third Bank Building, Indianapolis, IN 46202-5173 | 2016-03-24 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1699038430 | Aimee Leigh Anderson | Nurse Practitioner | 7120 Clearvista Dr Ste 3200, Indianapolis, IN 46256 | 2012-06-18 |
| 1104101047 | Amanda Jo Phelps | Nurse Practitioner | 4199 Gateway Blvd Ste 3500, Newburgh, IN 47630-7909 | 2011-10-11 |
| Find all providers with the same taxonomy | ||||
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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.