Gregory Lee Mellinger (NPI# 1679763437, PAC ID# 7315030723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679763437 |
| PAC ID by PECOS | 7315030723 |
| Professional Enrollment ID | I20070830000439 |
| Full Name | Gregory Lee Mellinger |
| Organization Legal Name | MEDSTAT LLC |
| Address |
1500 Provident Dr A Warsaw IN 46580-3297 |
| Phone Number | 5743727637 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3476526476 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1500 Provident Dr A, Warsaw, IN 46580-3297 | 5743727637 | MEDSTAT LLC |
| Organization Legal Name | MEDSTAT LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debbie L Holman | Nurse Practitioner | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Michelle Rene Mcdowell | Nurse Practitioner | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Kyung In Yang | Family Medicine | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Anita Lynn Alcorn | Nurse Practitioner | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Lori A Young | Nurse Practitioner | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Cranford R Powell | Physician Assistant | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Carmen N Johnston | Physician Assistant | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Scott H Ehmen | Family Medicine | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Amy M Fish | Nurse Practitioner | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Stephanie Fribley | Physician Assistant | Medstat LLC | 1001 N Main St, Suite 1, Nappanee, IN 46550-1016 |
| Street Address |
1500 PROVIDENT DR A |
| City | WARSAW |
| State | IN |
| Zip | 46580-3297 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Day | Chiropractic | 118 W Market St, Warsaw, IN 46580-2812 | |
| Andrew S Yoder | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Andrew Gerritt Smith | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Richard E Ruhrold | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Dawn Boughton | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Amber Joy Richards | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kishore Sriram | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Rhonda Irene Hall | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kelly N Martinczak | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Julie A Moore | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Find all physicians in zip 46580 | |||
| City | WARSAW |
| Zip Code | 46580 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WARSAW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gregory Lee Mellinger.
| 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.