DR. DOROTHY L MELLON (NPI# 1780663872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780663872 |
| Entity Type | Individual |
| Full Name | DR. DOROTHY L MELLON |
| Credential | M.D. |
| Practice Address |
1502 Se 28th St Suite 6 Bentonville AR 72712-3988 |
| Practice Telephone | 4794649800 |
| Practice Fax Number | 4794649801 |
| Mailing Telephone | 4794649800 |
| Mailing Fax Number | 4794649801 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E3548 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 149971002 | 05 | |
| AR | 149961001 | 05 |
| Street Address |
1502 SE 28TH ST SUITE 6 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-3988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194223891 | Melissa Ann Campbell | Nurse Practitioner | 1502 Se 28th St, Bentonville, AR 72712-3988 | 2018-01-28 |
| 1568811149 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 1502 Se 28th St, Bentonville, AR 72712-3988 | 2016-06-06 |
| 1013069699 | Robert Caton Baker | Anesthesiology | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-3988 | 2007-01-17 |
| 1982778155 | Mark Alan Kendall | Plastic Surgery | 1502 Se 28th St, Suite 4, Bentonville, AR 72712-3988 | 2006-11-20 |
| 1790869642 | Richard Slater Kyle | Neurological Surgery | 1502 Se 28th St, Suite 2, Bentonville, AR 72712-3988 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932393139 | William D Oldham | Specialist | 2705 Se G St Ste 9, Bentonville, AR 72712-3742 | 2007-08-30 |
| 1518165752 | Megan Renea Day | Specialist | 2200 Se J St, Suite 14, Bentonville, AR 72712-4185 | 2007-07-10 |
| 1962614305 | William Talley Summerlin | Specialist | 701 W Mcnelly Rd, Suite 15, Bentonville, AR 72712-9159 | 2007-05-06 |
| 1679640148 | Allergy & Asthma Clinic of Northwest Arkansas | Specialist | 2703 Se G St, Suite 7, Bentonville, AR 72712-3740 | 2006-11-29 |
| 1952736936 | Austin James Kerkhover | Specialist | 1702 Se J St, Bentonville, AR 72712-3763 | 2013-09-09 |
| 1508112236 | Robert Jeffery Mcgee | Specialist | 1702 Se J St, Bentonville, AR 72712-3763 | 2012-07-31 |
| 1952573875 | Dorothy L Mellon Md Pa | Specialist | 2701 Se J St, Bentonville, AR 72712-4266 | 2008-04-01 |
| 1275561516 | Arkansas Center for Arthroscopy | Specialist | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2006-06-28 |
| 1891739660 | Tina Kay Merritt | Specialist | 2701 Se J St, Suite 3, Bentonville, AR 72712-4266 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209387 | Alysha Johnson | Specialist | 4618 Jfk Blvd, North Little Rock, AR 72116-7311 | 2020-06-10 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1568958288 | Rebekka Leah Bailey | Specialist | 913 W Court St, Paragould, AR 72450-5922 | 2018-07-05 |
| 1932627999 | Erin Walker | Specialist | 1500 N Mississippi St, Little Rock, AR 72207-5851 | 2017-08-30 |
| 1033651914 | Adrienne D Stephens | Specialist | 306 W Shelton St Lot 1, Monticello, AR 71655-4732 | 2016-11-09 |
| 1114386976 | Elizabeth Kay Henley | Specialist | 5180 Hemstead 3, Hope, AR 71801 | 2016-02-22 |
| 1396100780 | James Garland Burgess | Specialist | 307 Nordin Ln, Russellville, AR 72802-9006 | 2015-12-29 |
| 1548646250 | Matthew Martin | Specialist | 5497 Northern Dancer, Springdale, AR 72762-8337 | 2015-08-04 |
| 1467837575 | Riverfront Doulas, LLC | Specialist | 114 Trelon Way, Little Rock, AR 72223-3988 | 2015-07-30 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.