Timothy J Mello (NPI# 1093726366, PAC ID# 8123029154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093726366 |
| PAC ID by PECOS | 8123029154 |
| Professional Enrollment ID | I20070118000115 |
| Full Name | Timothy J Mello |
| Organization Legal Name | SPRINGFIELD HOSPITAL INC. |
| Address |
25 Ridgewood Rd Springfield VT 05156-3050 |
| Phone Number | 8028852151 |
| Gender | M |
| Credential | PA |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6507760337 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471306 | SPRINGFIELD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 25 Ridgewood Rd, Springfield, VT 05156-3050 | 8028852151 | SPRINGFIELD HOSPITAL INC. |
| Organization Legal Name | SPRINGFIELD HOSPITAL INC. |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Ryder | Otolaryngology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Ann S Bartlett | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Xiangtian Hu | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Joella Mccarragher | Nurse Practitioner | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Deborah J Puckhaber | Internal Medicine | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Kane D Gronback | Nurse Practitioner | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Carl J Gutierrez | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Marvin K Malek | General Surgery | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| John S Ciocchi | General Surgery | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Robert V Cantu | Orthopedic Surgery | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Street Address |
25 RIDGEWOOD RD |
| City | SPRINGFIELD |
| State | VT |
| Zip | 05156-3050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Ryder | Otolaryngology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Ann S Bartlett | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Anuradha P Shah | Internal Medicine | Blueprint Healthcare LLC | 25 Ridgewood Rd, Bedford, NH 03110-6510 |
| Xiangtian Hu | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Joella Mccarragher | Nurse Practitioner | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Deborah J Puckhaber | Internal Medicine | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Emily R Levan | Nurse Practitioner | Bluewater Emergency Partners of Brunswick LLC | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Kane D Gronback | Nurse Practitioner | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Carl J Gutierrez | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Marvin K Malek | General Surgery | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet M Farley | Clinical Social Worker | 56 Main St, Suite 212, Springfield, VT 05156-0854 | |
| Sandra B Mcgrath | Nurse Practitioner | Gps Physician Group, PC | 105 Chester Rd, Springfield, VT 05156-2106 |
| Richard A Lane | Ophthalmology | Springfield Medical Care Systems Inc | 441 River St, Springfield, VT 05156-2222 |
| April Ronane Harmer | Optometry | Springfield Medical Care Systems Inc | 441 River St, Springfield, VT 05156-2222 |
| Dorothea L Degutis | Psychiatry | Health Care and Rehabilitation Services of Southeastern Vermont Inc | 390 River St, Springfield, VT 05156-2226 |
| Ingrid M Sell | Psychologist, Clinical | Health Care and Rehabilitation Services of Southeastern Vermont Inc | 390 River St, Springfield, VT 05156-2226 |
| Desiree Biesheuvel | Psychiatry | Health Care and Rehabilitation Services of Southeastern Vermont Inc | 390 River St, Springfield, VT 05156-2226 |
| Paul D Boutin | Psychiatry | Health Care and Rehabilitation Services of Southeastern Vermont Inc | 390 River St, Springfield, VT 05156-2226 |
| Maris O Noble | Clinical Social Worker | Health Care and Rehabilitation Services of Southeastern Vermont Inc | 390 River St, Springfield, VT 05156-2226 |
| Marylu A Olson | Clinical Social Worker | Health Care and Rehabilitation Services of Southeastern Vermont Inc | 390 River St, Springfield, VT 05156-2226 |
| Find all physicians in zip 05156 | |||
| City | SPRINGFIELD |
| Zip Code | 05156 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Timothy J Mello.
| 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.