Stacy Eldon Mellum (NPI# 1366520280, PAC ID# 4587840319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1366520280 |
| PAC ID by PECOS | 4587840319 |
| Professional Enrollment ID | I20110512000296 |
| Full Name | Stacy Eldon Mellum |
| Organization Legal Name | OB/GYN ASSOCIATES |
| Address |
645 N Arlington Ave Suite 400 Reno NV 89503-4451 |
| Phone Number | 7753296241 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4486633500 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 | 7753296241 | OB/GYN ASSOCIATES |
| Organization Legal Name | OB/GYN ASSOCIATES |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Melanie Working | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Larry David Klaich | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Peter B Dekay | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Nicholas James Garol | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Cynthia L St Pierre | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Hilary J Allen | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Tari Justis | Nurse Practitioner | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Corinne E Capurro | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Iolanda Elizabeth Edsall | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Vickie L Tippett | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Street Address |
645 N ARLINGTON AVE SUITE 400 |
| City | RENO |
| State | NV |
| Zip | 89503-4451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Melanie Working | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Larry David Klaich | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Peter B Dekay | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Charles P Virden | Plastic and Reconstructive Surgery | 645 N Arlington Ave, Suite 335, Reno, NV 89503-4460 | |
| Nicholas James Garol | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Cynthia L St Pierre | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Hilary J Allen | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Tari Justis | Nurse Practitioner | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Corinne E Capurro | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Iolanda Elizabeth Edsall | Obstetrics/gynecology | Ob/gyn Associates | 645 N Arlington Ave, Suite 400, Reno, NV 89503-4451 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Chisholm Qualls | Optometry | Pritchett Eye Care PC | 831 Keystone Ave, Reno, NV 89503-2501 |
| Trevor Eriksen | Chiropractic | 855 W 7th St, Suite 23, Reno, NV 89503-2706 | |
| Ladawn M Talbott | Plastic and Reconstructive Surgery | 601 Ralston St, Suite 200, Reno, NV 89503-4418 | |
| Jonathan S Tay | Radiation Oncology | Saint Marys Medical Group Inc | 645 N Arlington, Suite 120, Reno, NV 89503-4441 |
| Jaime Shuff | Radiation Oncology | Saint Marys Medical Group Inc | 645 N Arlington, Suite 120, Reno, NV 89503-4441 |
| Timothy J Louie | Neurology | Saint Marys Medical Group Inc | 645 N Arlington, Suite 120, Reno, NV 89503-4441 |
| Kathleen Legarza | Radiation Oncology | Saint Marys Medical Group Inc | 645 N Arlington, Suite 120, Reno, NV 89503-4441 |
| Richard H Bryan Jr. | Cardiovascular Disease (cardiology) | Saint Marys Medical Group Inc | 645 N Arlington, Suite 460, Reno, NV 89503-4451 |
| Ram M Challapalli | Cardiovascular Disease (cardiology) | Saint Marys Medical Group Inc | 645 N Arlington, Suite 460, Reno, NV 89503-4451 |
| Melissa L Shelley | Physician Assistant | Saint Marys Medical Group Inc | 645 N Arlington, Suite 460, Reno, NV 89503-4451 |
| Find all physicians in zip 89503 | |||
| City | RENO |
| Zip Code | 89503 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | RENO + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Stacy Eldon Mellum.
| 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.