MELANIE IMKER WONG (NPI# 1093173064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093173064 |
Entity Type | Individual |
Full Name | MELANIE IMKER WONG |
Practice Address |
1025 Marsh St Mankato MN 56001-4752 |
Mailing Address |
20018 Indian Lake Rd Mankato MN 56001-6617 |
Practice Telephone | 5076254031 |
Mailing Telephone | 6513257319 |
Enumeration Date | 2016-02-05 |
Last Update Date | 2020-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 4704290170 | MI | Nursing Service Providers |
N | 163W00000X | Registered Nurse | R-192262-4 | MN | Nursing Service Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA 1924 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992090120 | Melanie M Wong | Dermatology | 1665 Aurora Court, Room 3234, Mail Stop F703, Aurora, CO 80045 | 2011-06-15 |
1992891675 | Melanie M Wong | Physical Therapist | 20211 Patio Dr, #205, Castro Valley, CA 94546-4338 | 2006-10-04 |
Street Address |
1025 MARSH ST |
City | MANKATO |
State | MN |
Zip Code | 56001-4752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154316206 | James J Milavetz | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-09-14 |
1811596059 | Kiman Dinh | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-10-20 |
1295349710 | Joseph Flynn | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-09-02 |
1972115962 | Mohamed A Ibrahim | Community Health Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-08-20 |
1174147110 | Emily Behrend | Advanced Practice Midwife | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-06-05 |
1205455755 | Whitney Farr | Social Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-04-15 |
1134765233 | Kay S Williams | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-23 |
1871138263 | Sydney Mcinnis | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-09 |
1730739061 | Kelsey Elizabeth Mork | Physician Assistant | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-18 |
1891345369 | Matthew Joseph Perri | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
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Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154894202 | Amy Elizabeth Engstrom | Nurse Anesthetist, Certified Registered | 1411 Premier Dr, Mankato, MN 56001-6076 | 2019-01-10 |
1679834956 | Lisa Marie Egenes | Nurse Anesthetist, Certified Registered | 1400 Madison Ave Ste 311, Mankato, MN 56001 | 2012-06-04 |
1528008687 | John Francis Anthony | Nurse Anesthetist, Certified Registered | 1024 Marsh St, Mankato, MN 56001-4717 | 2006-06-07 |
1063927473 | Nathan Konrad Silva | Nurse Anesthetist, Certified Registered | 1025 Marsh St, Mankato, MN 56001 | 2017-12-07 |
1033650239 | Jenna Smith | Nurse Anesthetist, Certified Registered | 1025 Marsh St, Mankato, MN 56001-4752 | 2017-03-20 |
1619320694 | Christina Lynn Kloepping | Nurse Anesthetist, Certified Registered | 1025 Marsh St, Mankato, MN 56001-4752 | 2016-07-14 |
1477941961 | Laci Lea Severson Lynch | Nurse Anesthetist, Certified Registered | 1025 Marsh St, Mankato, MN 56001-4752 | 2015-01-06 |
1588081426 | Lana Bramstedt | Nurse Anesthetist, Certified Registered | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-03-27 |
1801178892 | Joy C Strand | Nurse Anesthetist, Certified Registered | 1400 E Madison Ave, Ste 311, Mankato, MN 56001-5473 | 2011-09-15 |
1205164340 | Melissa D Thornton | Nurse Anesthetist, Certified Registered | 1025 Marsh St, Mankato, MN 56001-4752 | 2009-12-01 |
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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.