CINDA JENSEN MELLOY (NPI# 1780675843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780675843 |
| Entity Type | Individual |
| Full Name | CINDA JENSEN MELLOY |
| Credential | MD |
| Practice Address |
1900 Centracare Cir Centracare Clinic St Cloud MN 56303-5000 |
| Practice Telephone | 3206543630 |
| Practice Fax Number | 3206543657 |
| Mailing Telephone | 3206543630 |
| Mailing Fax Number | 3206543657 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2010-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 32044 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRST HEALTH PLAN | 2114179 | 01 | |
| ARAZ GROUP | 763855 | 01 | |
| U CARE | 110409 | 01 | |
| MEDICA HEALTH PLANS | 1202202 | 01 | |
| PREFERRED ONE | 254011 | 01 | |
| MEDICAL ASSISTANCE | 659588000 | 01 | |
| BLUE CROSS BLUE SHIELD | 51A33JE | 01 | |
| HEALTH PARTNERS | HP25485 | 01 |
| Street Address |
1900 CENTRACARE CIR CENTRACARE CLINIC |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649608043 | Emily Marie Mayerhofer | Genetic Counselor, MS | 1900 Centracare Cir, 2375, St Cloud, MN 56303-5000 | 2013-10-22 |
| 1487900577 | Elizabeth Kate Blixt | Dermatology | 1900 Centracare Cir, Suite 2575, St Cloud, MN 56303-5000 | 2012-07-26 |
| 1073880464 | Kayla Mae Carlson | Dietitian, Registered | 1900 Centracare Cir, Suite 2500, St Cloud, MN 56303-5000 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483711 | Wendi A Johnson | Pediatrics | 1900 Centracare Circle #1300, Centracare Clinic Health Plaza Pediatrics and Adolescen, St Cloud, MN 56303-5000 | 2005-10-31 |
| 1003815051 | Jennifer J Rogan | Pediatrics | 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 | 2005-07-20 |
| 1285070243 | Logan Andrew Newman | Pediatrics | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2013-05-17 |
| 1902068422 | Kristina O. Schaus | Pediatrics | 1900 Centra Care Circle, Centracare Clinic - Women's & Childrens, St Cloud, MN 56303-5000 | 2008-06-26 |
| 1649432204 | Jill Lynn Amsberry | Pediatrics | 1900 Centracare Cir #1300, Centracare Clinic Women's & Children's, St Cloud, MN 56303-5000 | 2008-06-25 |
| 1487699179 | Kelly B Fandel | Pediatrics | 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, MN 56303-5000 | 2006-06-18 |
| 1558320044 | Geri Newman Jacobson | Pediatrics | 1900 Centracare Cir #1300, Centra Care Clinic Women's & Childrens, St Cloud, MN 56303-5000 | 2006-03-22 |
| 1548251408 | Marilyn J Peitso | Pediatrics | 1900 Centracare Circle, St Cloud, MN 56303 | 2005-10-31 |
| 1558352401 | Sylvia R Sundberg | Pediatrics | 1900 Centracare Circle, St Cloud, MN 56303 | 2005-10-31 |
| 1902897853 | Janelle L Johnson | Pediatrics | 1900 Centracare Circle, St Cloud, MN 56303 | 2005-10-31 |
| Find all providers in ST CLOUD | ||||
Please comment or provide details below to improve the information on CINDA JENSEN MELLOY.
| 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.