DR. TRAVIS JAMES MELLON (NPI# 1932366382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932366382 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS JAMES MELLON |
| Credential | D.O. |
| Practice Address |
Hwy 491 N Northern Navajo Medical Center Shiprock NM 87420 |
| Mailing Address |
Po Box 1807 Shiprock NM 87420-1807 |
| Practice Telephone | 6313764094 |
| Mailing Telephone | 8166454888 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2009-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 243979 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
HWY 491 N NORTHERN NAVAJO MEDICAL CENTER |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063679652 | Daniel Langsam | Pediatrics | Hwy 491 N, Northern Navajo Medical Center, Shiprock, NM 87420 | 2008-05-21 |
| 1902384084 | Katherine Vodovoz | Pharmacist | Hwy 491 N, Shiprock, NM 87420 | 2018-08-01 |
| 1255833018 | Madison Lee Adams | Pharmacist | Hwy 491 N, Pharmacy Dept, Shiprock, NM 87420 | 2018-03-07 |
| 1437678059 | Jaclyn Kotula | Pharmacist | Hwy 491 N, Shiprock, NM 87420 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649289638 | Walter James Hibarger | Emergency Medicine | 491 N Yucca St Us Highway, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2006-08-07 |
| 1881057149 | Marc A Cassone | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420 | 2016-04-03 |
| 1174985964 | Jonathan Noah Jordahl | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420 | 2016-03-22 |
| 1093192122 | Jeanie K Ringelberg | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2015-04-27 |
| 1699193813 | Kristina Sycamore | Emergency Medicine | Hwy 491 North, Shiprock, NM 87420 | 2014-04-03 |
| 1447683313 | Michael C Barish | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420 | 2013-08-15 |
| 1508109489 | Nathan Daniel Henrie | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420 | 2013-03-29 |
| 1538457122 | Asha E Atwell | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420 | 2011-07-15 |
| 1245521350 | Brandon Ross Hill | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420 | 2011-04-22 |
| 1700078896 | Timothy James Durkin | Emergency Medicine | Us Hwy 491 North, Shiprock, NM 87420-8742 | 2007-08-13 |
| Find all providers in SHIPROCK | ||||
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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.