Melissa Blann (NPI# 1396725446, PAC ID# 3375697394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1396725446 |
| PAC ID by PECOS | 3375697394 |
| Professional Enrollment ID | I20120313000556 |
| Full Name | Melissa Blann |
| Organization Legal Name | AMERIPATH LUBBOCK 501A CORPORATION |
| Address |
1401 Pennsylvania Ave Fort Worth TX 76104-2113 |
| Phone Number | 8172505630 |
| Gender | F |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5890690085 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| 450539 | COVENANT HOSPITAL PLAINVIEW |
| 320030 | ARTESIA GENERAL HOSPITAL |
| 321305 | NOR-LEA HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 | 8172505630 | AMERIPATH LUBBOCK 501A CORPORATION |
| 3615 19th St, Lubbock, TX 79410-1203 | 8067441887 | AMERIPATH LUBBOCK 501A CORPORATION |
| Organization Legal Name | AMERIPATH LUBBOCK 501A CORPORATION |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seshadri D Thirumala | Pathology | Ameripath Lubbock 501a Corporation | 3615 19th St, Lubbock, TX 79410-1203 |
| Jason T Loos | Pathology | Ameripath Lubbock 501a Corporation | 3615 19th St, Lubbock, TX 79410-1203 |
| Jose E Pinto | Pathology | Ameripath Lubbock 501a Corporation | 117 E 19th St, Pathology Department, Roswell, NM 88201-5151 |
| Surender R Bodhireddy | Pathology | Ameripath Lubbock 501a Corporation | 117 E 19th St, Pathology Department, Roswell, NM 88201-5151 |
| Mary E Eberle | Pathology | Ameripath Lubbock 501a Corporation | 3615 19th St, Lubbock, TX 79410-1203 |
| Ashraf Khan | Pathology | Ameripath Lubbock 501a Corporation | 3615 19th St, Lubbock, TX 79410-1203 |
| Lola B Windisch | Pathology | Ameripath Lubbock 501a Corporation | 3615 19th St, Lubbock, TX 79410-1203 |
| Charles D Osborn | Pathology | Ameripath Lubbock 501a Corporation | 117 E 19th St, Pathology Department, Roswell, NM 88201-5151 |
| Bridget Heinen | Pathology | Ameripath Lubbock 501a Corporation | 3615 19th St, Lubbock, TX 79410-1203 |
| Street Address |
1401 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-2113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ihsan Housini | Pathology | Ameripath Pat 501a Corporation | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 |
| Lori Wasson | Pathology | Ameripath Pat 501a Corporation | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 |
| Janice M Tyler | Pathology | Ameripath Pat 501a Corporation | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 |
| Vilkesh R Jaiswal | Pathology | Ameripath Pat 501a Corporation | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 |
| Gregory P Cusano | Pathology | Ameripath Pat 501a Corporation | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 |
| Milan F Vuitch | Pathology | Ameripath Pat 501a Corporation | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 |
| Mary E Vono | Pathology | Ameripath Pat 501a Corporation | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | PATHOLOGY |
| City + Specialty | FORT WORTH + PATHOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.