MELLON CHIROPRACTIC CLINIC, P.C. (NPI# 1760755912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755912 |
| Entity Type | Organization |
| Organization Name | MELLON CHIROPRACTIC CLINIC, P.C. |
| Practice Address |
13002 Penn Shop Rd Mount Airy MD 21771-4517 |
| Practice Telephone | 3018315444 |
| Practice Fax Number | 3018295729 |
| Mailing Telephone | 3018315444 |
| Mailing Fax Number | 3018295729 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | DR. PETER JAMES MELLON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3018315444 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S01555 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NPI TYPE 1 | 1679665624 | 01 |
| Street Address |
13002 PENN SHOP RD |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033292 | Joyful Roots Chiropractic | Chiropractor | 652 W Watersville Rd, Mount Airy, MD 21771-3640 | 2019-10-07 |
| 1780177063 | Jenna Marie Comer | Chiropractor | 136 Moore Ave, Mount Airy, NC 27030-3816 | 2018-06-11 |
| 1437290434 | John Daniel Herbstsomer | Chiropractor | 3903 Skyview Dr, Mount Airy, MD 21771-4507 | 2007-02-11 |
| 1679637623 | James Edward Hicks | Chiropractor | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2006-12-21 |
| 1942317979 | Robert William Hower | Chiropractor | 2994 Riverside Dr, Mount Airy, NC 27030-8222 | 2006-08-24 |
| 1528090958 | Chiropractic First | Chiropractor | 603 E Ridgeville Blvd, Mount Airy, MD 21771-5249 | 2006-07-07 |
| 1750872669 | Matthew Thomas Jacobs | Chiropractor | 603 E Ridgeville Blvd, Mount Airy, MD 21771-5249 | 2018-05-25 |
| 1407002181 | White Sulphur Springs Chiropractic Health Center | Chiropractor | 2994 Riverside Dr, Mount Airy, NC 27030-8222 | 2008-08-13 |
| 1740455401 | Andrew Williamson | Chiropractor | 603 E Ridgeville Blvd, Mount Airy, MD 21771-5249 | 2008-04-24 |
| 1528257227 | Leslie Marie Stoklosa | Chiropractor | 2994 Riverside Dr, Mount Airy, NC 27030-8222 | 2007-10-18 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
Please comment or provide details below to improve the information on MELLON CHIROPRACTIC CLINIC, P.C..
| 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.