DR. MELANIE K. TREVINO (NPI# 1740267780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740267780 |
| Entity Type | Individual |
| Full Name | DR. MELANIE K. TREVINO |
| Credential | MD |
| Practice Address |
12805 W Burleigh Road Suite 200 Brookfield WI 53005-3156 |
| Mailing Address |
14275 Midway Rd Sutie 400 Addison TX 75001-3614 |
| Practice Telephone | 2627976434 |
| Practice Fax Number | 2627976429 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2015-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 40723 | WV | Allopathic & Osteopathic Physicians |
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
40723 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 11-00572 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855166 | Melanie Trevino | Behavioral Analyst | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2019-11-13 |
| 1336635374 | Melanie Prieto Trevino | Counselor | 1005 B St, Floresville, TX 78114-1900 | 2018-07-02 |
| 1841791662 | Melanie Trevino | Registered Nurse | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-02-27 |
| Street Address |
12805 W BURLEIGH ROAD SUITE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863685 | Scott W. Kelley | Pathology | 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005-3111 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003076142 | Shanon Renee Lacy | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2008-06-12 |
| 1881734028 | Cris Patrick Myers | Pathology | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2007-02-07 |
| 1881796001 | Chafik Bengana | Pathology | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2006-09-01 |
| 1912944752 | Song Qing Zhao | Pathology | 801 York St, Manitowoc, WI 54220 | 2006-06-01 |
| 1841255122 | Andrew R Virata | Pathology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-04-19 |
| 1922063239 | Sarah R Hughes | Pathology | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-04-19 |
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on DR. MELANIE K. TREVINO.
| 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.