Gerardo R Melgar (NPI# 1619903820, PAC ID# 9537176920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1619903820 |
| PAC ID by PECOS | 9537176920 |
| Professional Enrollment ID | I20060309000300 |
| Full Name | Gerardo R Melgar |
| Organization Legal Name | COWLITZ FAMILY HEALTH CENTER |
| Address |
139 1st Ave Sw Castle Rock WA 98611-0009 |
| Phone Number | 3602742353 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991696395 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 139 1st Ave Sw, Castle Rock, WA 98611-0009 | 3602742353 | COWLITZ FAMILY HEALTH CENTER |
| 300 Oak St B, Kelso, WA 98626-2304 | 3603535511 | COWLITZ FAMILY HEALTH CENTER |
| 1057 12th Ave, Longview, WA 98632-2509 | 3606363892 | COWLITZ FAMILY HEALTH CENTER |
| 784 14th Ave, Longview, WA 98632-2315 | 3607036400 | COWLITZ FAMILY HEALTH CENTER |
| Organization Legal Name | COWLITZ FAMILY HEALTH CENTER |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Tolles | Nurse Practitioner | Cowlitz Family Health Center | 1057 12th Ave, Longview, WA 98632-2509 |
| Irene Mudehwe | Nurse Practitioner | Cowlitz Family Health Center | 784 14th Ave, Longview, WA 98632-2315 |
| Kristie M Andreas | Nurse Practitioner | Cowlitz Family Health Center | 335 Una Ave, Cathlamet, WA 98612-9583 |
| Natalie A Paul | Nurse Practitioner | Cowlitz Family Health Center | 1251 Lewis River Rd, Woodland, WA 98674-9265 |
| Sean N Murray | Nurse Practitioner | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Ezy H Yoo | Nurse Practitioner | Cowlitz Family Health Center | 300 Oak St B, Kelso, WA 98626-2304 |
| Danielle R Glover-cloutier | Nurse Practitioner | Cowlitz Family Health Center | 1057 12th Ave, Longview, WA 98632-2509 |
| Ema Ando | Nurse Practitioner | Cowlitz Family Health Center | 1057 12th Ave, Longview, WA 98632-2509 |
| Gail S Conway | Family Medicine | Cowlitz Family Health Center | 1057 12th Ave, Longview, WA 98632-2509 |
| Katherine D Lindley | Nurse Practitioner | Cowlitz Family Health Center | 1057 12th Ave, Longview, WA 98632-2509 |
| Street Address |
139 1ST AVE SW |
| City | CASTLE ROCK |
| State | WA |
| Zip | 98611-0009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean N Murray | Nurse Practitioner | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Min Kuk Lee | Family Medicine | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Anthony L Reyes | Family Medicine | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Reinhild E Ayoub | Pediatric Medicine | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee A Walden | Nurse Practitioner | 560 Quick Rd, Castle Rock, WA 98611-9324 | |
| Emma V Torres Baltazar | General Practice | 606 Se Roake Ave, Castle Rock, WA 98611-9861 |
| City | CASTLE ROCK |
| Zip Code | 98611 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CASTLE ROCK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gerardo R Melgar.
| 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.