MR. GREGORY ALLEN MELDER (NPI# 1740686740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740686740 |
| Entity Type | Individual |
| Full Name | MR. GREGORY ALLEN MELDER |
| Credential | SA-C |
| Practice Address |
2751 Albert L Bicknell Dr Ste 3a Shreveport LA 71103-3976 |
| Mailing Address |
Po Box 3858 Shreveport LA 71133-3858 |
| Practice Telephone | 3186369905 |
| Practice Fax Number | 3186365102 |
| Mailing Telephone | 3186369905 |
| Mailing Fax Number | 3186365102 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
14-576 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2751 ALBERT L BICKNELL DR STE 3A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588019 | Wk Minimally Invasive Surgery Center | Surgery | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2020-08-11 |
| 1003391160 | Amy J Roks | Physician Assistant | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2018-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876176 | Bernarda Antonieta Cedano Ramirez | Specialist/Technologist, Other | 4337 Cole Pl, Shreveport, LA 71109-6604 | 2019-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858509 | Karen Lynn Basham | Specialist/Technologist, Other | 14141 Azalea Park Ave Apt C, Baton Rouge, LA 70816-1674 | 2019-12-16 |
| 1710528427 | Shelby Fabre | Specialist/Technologist, Other | 1442 S Acadian Thruway, Baton Rouge, LA 70808-1182 | 2019-10-03 |
| 1962962852 | Sabrina Anne Theriot | Specialist/Technologist, Other | 444 S 5th St, Ponchatoula, LA 70454-2712 | 2019-03-25 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| 1730624495 | Connie Savoy | Specialist/Technologist, Other | 219 Bonnie Rd, Opelousas, LA 70570-0856 | 2017-01-04 |
| 1689119448 | Tavarius Walker | Specialist/Technologist, Other | 4010 Gibson St Apt 8624, New Orleans, LA 70122-1608 | 2017-01-03 |
| 1437516457 | Maria Fernanda Kazibutowski | Specialist/Technologist, Other | 4315 Houma Blvd Ste 304, Metairie, LA 70006-2944 | 2016-01-21 |
| 1629466321 | Joni Dolhonde | Specialist/Technologist, Other | 53493 Highway 433, Slidell, LA 70461-4719 | 2015-01-03 |
| 1770998437 | Amy L Broussard | Specialist/Technologist, Other | 1117 Eighth St, Lake Arthur, LA 70549-3401 | 2014-06-20 |
| 1790100741 | Rachel N Wells | Specialist/Technologist, Other | 103 Carmel Dr, Mandeville, LA 70448-4128 | 2014-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.