MS. MELISSA LYNNE PORTELL


Address: 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032
Phone: 3143627509

MS. MELISSA LYNNE PORTELL (NPI# 1942624077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942624077
Entity Type Individual
Full Name MS. MELISSA LYNNE PORTELL
Credential PA
Practice Address 4921 Parkview Pl Ste 11a
Ste 11a
Saint Louis
MO 63110-1032
Mailing Address 660 S Euclid Ave
C B 8115
Saint Louis
MO 63110-1010
Practice Telephone 3143627509
Practice Fax Number 3143627522
Mailing Telephone 3143627509
Mailing Fax Number 3143627522
Enumeration Date 2014-02-10
Last Update Date 2018-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2016030858 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL ENROLLED 05
MO 1942624077 05

Other Providers MELISSA PORTELL

NPI Name Taxonomy Address Enumeration
1164667838 Melissa A Portell Nurse Practitioner 6420 Clayton Rd, Saint Louis, MO 63117-1811 2008-12-10

Office Location

Street Address 4921 PARKVIEW PL STE 11A
STE 11A
City SAINT LOUIS
State MO
Zip Code 63110-1032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417927153 Jason Thomas Rich Otolaryngology 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2006-01-25
1508396508 Adam Harrison Voss Audiologist 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2017-06-13
1467843334 Kelsey Marie Rosenquist Otolaryngology 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2015-02-12
1760761100 Andrew Schuette Audiologist 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2011-08-16
1407147150 Cristine Klatt-cromwell Otolaryngology 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2011-04-29
1710299714 Alison Mensi Brockmeyer Audiologist 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2010-07-07
1063737799 Cameron Connelly Wick Otolaryngology 4921 Parkview Pl Ste 11a, Saint Louis, MO 63110-1032 2010-04-06
1881924462 Debra Ann Gonzalez Otolaryngology 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2010-01-05
1609000959 Linda A Neal Speech-Language Pathologist 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2009-05-14
1346487881 Jose Pedro Zevallos Otolaryngology 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 2009-01-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639779341 Andrew Hecht Physician Assistant 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 2020-10-30
1396352860 Alexis Lindsey Physician Assistant 5629 Bischoff Ave, Saint Louis, MO 63110-2929 2020-09-28
1942824339 Jett Elena Mcguire Physician Assistant 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 2020-06-02
1356965602 Katherine Anne Hill Physician Assistant 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 2020-06-02
1326669516 Kayla Bergmann Physician Assistant 58 W Glendale Rd, Saint Louis, MO 63119-4054 2020-04-29
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1477172237 Allison Mcniell Physician Assistant 3853 Mcdonald Ave # 1f, Saint Louis, MO 63116-4716 2020-04-13
1922627728 Allissa Speiser Physician Assistant 3437 Caroline St Ste 3082, Saint Louis, MO 63104-1111 2020-04-11
1578182564 Alexander Charles Greff Physician Assistant 6416 Oakland Ave Apt 306, Saint Louis, MO 63139-3226 2020-04-10
1043839061 Andrew Chida Physician Assistant 2050 Lafayette Ave Apt 1e, Saint Louis, MO 63104-2529 2020-04-09
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63110

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Dataset Information

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.

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