MELISSA A WALSH (NPI# 1821304007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821304007 |
| Entity Type | Individual |
| Full Name | MELISSA A WALSH |
| Other Name | MELISSA A IRELAND |
| Credential | PA-C |
| Practice Address |
110 Rattlesnake Ave Ste B Mountain Home ID 83647-4220 |
| Practice Telephone | 2085875523 |
| Mailing Telephone | 2085875523 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2011-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-856 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1770817413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871035980 | Melissa Walsh | Midwife | 111 Kulanihakoi St, Kihei, HI 96753-7348 | 2016-11-07 |
| 1992209258 | Melissa Walsh | Speech-Language Pathologist | 505 S Myrtle Ave, Smithton, MO 65350-1038 | 2018-03-21 |
| 1265986368 | Melissa Walsh | Physical Therapist | 39 Cinema Blvd, Leominster, MA 01453-3290 | 2016-08-08 |
| 1710383161 | Melissa Walsh | Occupational Therapist | 3485 Davisville Rd, Hatboro, PA 19040-4220 | 2014-11-12 |
| 1033512918 | Melissa Walsh | Physician Assistant | 2370 Gable Rd, Saint Helens, OR 97051-2913 | 2014-10-06 |
| 1801204094 | Melissa Walsh | Occupational Therapist | 200 1st Street Sw, Rochester, MN 55905-0001 | 2014-07-31 |
| 1144532912 | Melissa Walsh | Obstetrics & Gynecology | 227 Madison St, Rm. 1249, New York, NY 10002-7537 | 2010-07-09 |
| 1760540249 | Melissa Lamb Walsh | Massage Therapist | 535 Ocean Ave, Suite 1, Portland, ME 04103-4973 | 2006-12-05 |
| 1275644874 | Melissa Cecilia Walsh | Pediatrics | 357 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2006-08-31 |
| Street Address |
110 RATTLESNAKE AVE STE B |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063922383 | Tina Townsend | Social Worker | 110 Rattlesnake Ave Ste B, Mountain Home, ID 83647-4220 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821022732 | Kevin John Mccoy | Physician Assistant | Sidney and Lamont St, Mountain Home, TN 37684 | 2006-07-10 |
| 1427555119 | Jamie Knapp | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2018-04-09 |
| 1265852909 | Whitney Ann Roberts | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2014-04-21 |
| 1902231178 | Interventional Pain Management Associates Pllc | Physician Assistant | 17 Medical Plz, Mountain Home, AR 72653-2918 | 2013-09-06 |
| 1548500770 | Niger Stice | Physician Assistant | 17 Medical Plaza, Mountain Home, AR 72653-2918 | 2013-02-25 |
| 1912156068 | Diana Sue Riley | Physician Assistant | 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 | 2008-09-13 |
| 1356549901 | Jeffery D Tate | Physician Assistant | 555 W 6th St, Mountain Home, AR 72653-3409 | 2007-07-05 |
| 1063578664 | Doctors Clinic of Elmore County Pllc | Physician Assistant | 2000 American Legion Blvd, Mountain Home, ID 83647-3138 | 2006-12-28 |
| 1356438394 | Russell Franklin Lawrence | Physician Assistant | Veterans Affairs Medical Center, Lamont and Sydney Streets, Mountain Home, TN 37684-4000 | 2006-10-10 |
| 1134148638 | William Tate Blalock | Physician Assistant | Dogwood Ave, Quillen Veterans Affairs Medical Center -bldg 204, Mountain Home, TN 37684-4000 | 2006-07-18 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
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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.