MATTHEW J. MELLON (NPI# 1841457439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841457439 |
| Entity Type | Individual |
| Full Name | MATTHEW J. MELLON |
| Credential | MD |
| Practice Address |
11725 N Illinois St Ste 558 Carmel IN 46032-3009 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3176885500 |
| Practice Fax Number | 3176885511 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2014-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01062033A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201066530 | 05 | |
| IN | ANTHEM PIN | 000000771860 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336302504 | Matthew Birk Mellon | Orthopaedic Surgery | 2801 W Kk River Pkwy, Suite 345, Milwaukee, WI 53215-3669 | 2008-07-08 |
| Street Address |
11725 N ILLINOIS ST STE 558 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439921 | William A Hilgendorf | Psychologist | 11725 N Illinois St, Ste 3501, Carmel, IN 46032-3008 | 2005-07-07 |
| 1962982660 | Kelly D Sharp | Dietitian, Registered | 11725 N Illinois St, Carmel, IN 46032-3008 | 2018-08-21 |
| 1063800027 | Cacioppo Plastic Surgery, LLC | Plastic Surgery | 11725 N Illinois St, Suite 245, Carmel, IN 46032-3008 | 2014-12-29 |
| 1902237217 | Deborah Vine | Dietitian, Registered | 11725 N Illinois St, Suite 355, Carmel, IN 46032-3008 | 2013-12-12 |
| 1376985895 | Lauren Ruth Rees | Speech-Language Pathologist | 11725 N Illinois St, Ste 445, Carmel, IN 46032-3008 | 2013-07-25 |
| 1346685674 | Wyatt Harding Horsley | Family Medicine | 11725 N Illinois St, Suite 325, Carmel, IN 46032-3008 | 2013-04-30 |
| 1831439850 | Janelle A Mckee | Nurse Practitioner | 11725 N Illinois St, Carmel, IN 46032-3008 | 2013-02-28 |
| 1033463971 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 11725 N Illinois St, Suite 215, Carmel, IN 46032-3008 | 2012-10-30 |
| 1841565942 | Eric W Han | Internal Medicine | 11725 N Illinois St, Ste 465, Carmel, IN 46032-3010 | 2012-03-21 |
| 1225301831 | Holly M Williams | Registered Nurse | 11725 N Illinois St, Suite 265, Carmel, IN 46032-3008 | 2012-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801066030 | East Hudson Urology Group PC | Urology | 644 Stoneleigh Avenue, Suite 301, Carmel, NY 10567 | 2008-03-04 |
| 1497940621 | Jay A. Motola, Md | Urology | 670 Stoneleigh Ave, Suite 209, Carmel, NY 10512-3997 | 2007-09-11 |
| 1427254945 | Ronald Boris | Urology | 11725 N Illinois St, Suite 558, Carmel, IN 46032-3008 | 2007-06-22 |
| 1487748802 | Thomas Grimaldi | Urology | 664 Stoneleigh Ave, Carmel, NY 10512-3940 | 2006-10-02 |
| 1215943683 | Gregory R Wahle | Urology | 12188a N Meridian St, Suite # 200, Carmel, IN 46032-4578 | 2006-07-31 |
| 1124032107 | John C Ramsey | Urology | 12188a N Meridian St, Suite # 200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1841204625 | David W Hollensbe | Urology | 12188a N Meridian St, Suite #200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1417961897 | Michael G. Hostetter | Urology | 12188a N Meridian St, Suite 200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1013921709 | Peter M Knapp Jr. | Urology | 12188a N Meridian St, Suite #200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1841204542 | Kenneth G Ney | Urology | 12188a N Meridian St, Suite #200, Carmel, IN 46032-4578 | 2006-07-28 |
| Find all providers in CARMEL | ||||
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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.