DR. JONATHAN W MELLEMA (NPI# 1083680458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083680458 |
Entity Type | Individual |
Full Name | DR. JONATHAN W MELLEMA |
Credential | MD |
Practice Address |
310 22nd Ave Brookings SD 57006-2474 |
Mailing Address |
13320 13th St Nw Spicer MN 56288-9326 |
Practice Telephone | 6056962700 |
Mailing Telephone | 3203544797 |
Enumeration Date | 2006-02-27 |
Last Update Date | 2019-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 11483 | SD | Allopathic & Osteopathic Physicians |
N | 207Y00000X | Otolaryngology | 47540 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 312128300 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
101 Willmar Ave Sw, Willmar, MN 56201 | 3202315000 | 3202315067 |
Street Address |
310 22ND AVE |
City | BROOKINGS |
State | SD |
Zip Code | 57006-2474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477934842 | Emily Abele | Obstetrics & Gynecology | 310 22nd Ave, Brookings, SD 57006-2474 | 2015-06-11 |
1548559867 | Michael Holmoe | Orthopaedic Surgery | 310 22nd Ave, Brookings, SD 57006-2474 | 2011-04-07 |
1851612337 | Larissa Bennis | Obstetrics & Gynecology | 310 22nd Ave, Brookings, SD 57006-2474 | 2010-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
Find all providers in zip 57006 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104874098 | Robert Rietz | Otolaryngology | 400 22nd Ave, Brookings, SD 57006-2497 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255657888 | Sacred Heart Health Services | Otolaryngology | 409 Summit St Ste 3200, Yankton, SD 57078-3736 | 2010-04-07 |
1669616496 | Sacred Heart Rural Health Clinics | Otolaryngology | 409 Summit St, Suite 2800, Yankton, SD 57078-3734 | 2009-04-23 |
1124269162 | Micah Marshall Likness | Otolaryngology | 2525 Fox Run Parkway, Suite 101, Yankton, SD 57078-5371 | 2009-03-22 |
1265511406 | John Rhodes Oliphant | Otolaryngology | 5024 S Bur Oak Place, Suite 114, Sioux Falls, SD 57108-2237 | 2006-11-06 |
1801901863 | Yankton Ear Nose and Throat PC | Otolaryngology | 409 Summit St Ste 2800, Yankton, SD 57078-3735 | 2006-08-20 |
1881651958 | Reuben C Setliff IIi | Otolaryngology | 2709 E 26th St, Sioux Falls, SD 57103-4016 | 2006-05-01 |
1528039765 | Robert A Cihak | Otolaryngology | 820 1st Ave Se Ste 100, Aberdeen, SD 57401-4604 | 2006-01-27 |
1376520049 | Vaughan Richard Bowen | Otolaryngology | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2005-12-23 |
1871590547 | Daniel Warren Todd | Otolaryngology | 2315 W 57th St, Sioux Falls, SD 57108-5046 | 2005-07-07 |
1053754994 | Sean Johnson | Otolaryngology | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2013-04-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.