TIMOTHY J MELLO (NPI# 1093726366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093726366 |
| Entity Type | Individual |
| Full Name | TIMOTHY J MELLO |
| Credential | PA-C |
| Practice Address |
29 Ridgewood Rd Springfield VT 05156-3050 |
| Practice Telephone | 8028856373 |
| Practice Fax Number | 8028856376 |
| Mailing Telephone | 8028856373 |
| Mailing Fax Number | 8028856376 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0416P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 0550030562 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0416P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0550030562 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | VN1017 | 05 | |
| CIGNA | 228223 | 01 | |
| NH | 30334363 | 05 | |
| VT | BLUECROSS | 58641 | 01 |
| MVP | 341729 | 01 |
| Street Address |
29 RIDGEWOOD RD |
| City | SPRINGFIELD |
| State | VT |
| Zip Code | 05156-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843560 | Federico E Fiallos | Surgery | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2005-07-02 |
| 1295230431 | Jessica Di Marco | Clinical Neuropsychologist | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2018-03-29 |
| 1205174745 | Springfield Medical Care Systems Inc | Clinic/Center | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2013-01-17 |
| 1093020885 | Christi Capron | Counselor | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2010-08-17 |
| 1124353412 | Springfield Medical Care Systems Inc | Clinic/Center | 29 Ridgewood Rd, Suite 300, Springfield, VT 05156-3060 | 2009-10-05 |
| 1356579775 | Twin State Psychological Services | Psychologist | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2009-06-24 |
| 1487802922 | Springfield Hospital | Internal Medicine | 29 Ridgewood Rd, Springfield Primary Care, Springfield, VT 05156-3060 | 2008-09-08 |
| 1083875595 | Springfield Hospital Inc | Family Medicine | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2008-06-18 |
| 1609035310 | Springfield Hospital | Orthopaedic Surgery | 29 Ridgewood Rd, Springfield Specialty Physicians, Springfield, VT 05156-3050 | 2008-06-06 |
| 1619989738 | Connecticut Valley Orthopaedics & Sports Medicine, PC | Neuromusculoskeletal Medicine, Sports Medicine | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790282580 | Meghan Elizabeth Thomas | Specialist/Technologist | 6 Lincoln St, Springfield, VT 05156 | 2018-04-09 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1528443405 | Dan Ciobanu | Dentist | 700 Charlestown Rd., Springfield, VT 05156 | 2015-07-21 |
| 1871869479 | L & M Family Care Givers Inc | Home Health | 365 Summer Street, Suite 204b, Springfield, VT 05156 | 2012-03-28 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| 1780700609 | James Rizzo | Chiropractor | 160 Wall Street, Springfield, VT 05156 | 2007-03-22 |
| 1023186202 | Theodore Bennett Robbins | Psychiatry & Neurology | 197 Union Street, Springfield, VT 05156 | 2006-12-04 |
| 1225103534 | Katherine M Duhamel | Counselor | 107 Park Street, Springfield, VT 05156 | 2006-11-21 |
| 1306911615 | Meghen Anne Clancy | Clinical Nurse Specialist | Health Care and Rehabilitation Center, 107 Park St, Springfield, VT 05156 | 2006-11-21 |
| Find all providers in zip 05156 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
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| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 05156 |
Please comment or provide details below to improve the information on TIMOTHY J MELLO.
| 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.