DR. SIMEON LEE MELLINGER (NPI# 1851885768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851885768 |
| Entity Type | Individual |
| Full Name | DR. SIMEON LEE MELLINGER |
| Credential | DPT |
| Practice Address |
2401 W Belvedere Ave Baltimore MD 21215-5216 |
| Practice Telephone | 4106014353 |
| Mailing Telephone | 4106014353 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
25493 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2401 W BELVEDERE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576086 | Herbert Graham Mathews IIi | Pharmacist | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2005-05-31 |
| 1245837749 | Lea Rose Foster | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-07 |
| 1912504705 | Cassidy Pickles | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-05 |
| 1023623519 | Evelyn Chavez | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-10 |
| 1265046742 | Nomy Thomas Jacob | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-02 |
| 1649880931 | Rebecca Rochowiak | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-08-03 |
| 1407465446 | Alexander James Morgan | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-27 |
| 1184233181 | Danish Mahmud Jilani | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5270 | 2020-07-24 |
| 1821616244 | Alisa N Li | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-13 |
| 1407474281 | Sushrutha Sridhar | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440203 | Daniel Moore Chapman | Physical Therapist | 3555 Newland Rd, Baltimore, MD 21218-2513 | 2019-01-07 |
| 1417323833 | Daniel Seubert | Physical Therapist | 8520 Drumwood Rd, Baltimore, MD 21286 | 2015-08-19 |
| 1326052515 | Ian West | Physical Therapist | 210 E Centre St, Baltimore, MD 21202-3619 | 2006-07-27 |
| 1750862835 | Zachary S Mitchell | Physical Therapist | 1420 Clarkview Rd, Baltimore, MD 21209-2104 | 2018-08-27 |
| 1184179046 | Allan H Macht Pa | Physical Therapist | 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 | 2016-08-22 |
| 1255886032 | David Anthony Reymann | Physical Therapist | 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 | 2016-08-22 |
| 1659739761 | Miriam Higgins | Physical Therapist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2016-02-03 |
| 1144606641 | Rebecca Manning | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2015-08-06 |
| 1417136946 | Margaret Mary Cruse | Physical Therapist | 7850 Eastern Ave, Baltimore, MD 21224-2115 | 2007-11-01 |
| 1427241249 | Shelley Leah Jessup | Physical Therapist | 7141 Security Blvd, Kaiser Permanente Woodlawn Medical Center, Baltimore, MD 21244-1811 | 2007-08-24 |
| Find all providers in BALTIMORE | ||||
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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.