Melissa Dutra (NPI# 1972001428, PAC ID# 5890041719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972001428 |
| PAC ID by PECOS | 5890041719 |
| Professional Enrollment ID | I20190417002379 |
| Full Name | Melissa Dutra |
| Organization Legal Name | JENNIFER M RIDGE MD INC |
| Address |
210 N Breiel Blvd Middletown OH 45042-3808 |
| Phone Number | 5134247231 |
| Gender | F |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537193446 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 210 N Breiel Blvd, Middletown, OH 45042-3808 | 5134247231 | JENNIFER M RIDGE MD INC |
| Organization Legal Name | JENNIFER M RIDGE MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Ridge | Dermatology | Jennifer M Ridge Md Inc | 210 N Breiel Blvd, Middletown, OH 45042-3808 |
| Street Address |
210 N BREIEL BLVD |
| City | MIDDLETOWN |
| State | OH |
| Zip | 45042-3808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Ridge | Dermatology | Jennifer M Ridge Md Inc | 210 N Breiel Blvd, Middletown, OH 45042-3808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Shadwick | Optometry | 1053 Summit Dr, Middletown, OH 45042 | |
| Charmaine A Wagner-bell | Clinical Social Worker | Butler Behavioral Health Services, Inc. | 1131 Manchester Ave, Middletown, OH 45042-1925 |
| Dana Alise Nolen | Qualified Audiologist | Grupenhof Enterprises LLC | 1044 Summitt Dr, Middletown, OH 45042-3400 |
| Mark E Frazer | Family Medicine | Summit Family Physicians Inc | 1010 Summitt Dr, Middletown, OH 45042-3400 |
| David C Miller | Urology | Tri State Urologic Services Psc Inc | 1064 Summitt Dr, Middletown, OH 45042-3400 |
| Stephen Moore | Pulmonary Disease | 1040 Summitt Dr, Middletown, OH 45042-3400 | |
| Emad Alshami | Psychiatry | 1060 B Summitt Dr, Middletown, OH 45042-3400 | |
| Stacy Lynn Mccoy | Nurse Practitioner | Summit Family Physicians Inc | 1010 Summitt Dr, Middletown, OH 45042-3400 |
| Kevin C Strait | Family Medicine | Summit Family Physicians Inc | 1010 Summitt Dr, Middletown, OH 45042-3400 |
| Timothy N Wourms | Family Medicine | Summit Family Physicians Inc | 1010 Summitt Dr, Middletown, OH 45042-3400 |
| Find all physicians in zip 45042 | |||
| City | MIDDLETOWN |
| Zip Code | 45042 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIDDLETOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Melissa Dutra.
| 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.