CARRIE A MELLOH (NPI# 1124052246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124052246 |
| Entity Type | Individual |
| Full Name | CARRIE A MELLOH |
| Credential | MD |
| Practice Address |
8890 E 116th St Suite 300 Fishers IN 46038-2820 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176211500 |
| Practice Fax Number | 3176211509 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01060755A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000659135 | 01 |
| IN | ANTHEM | 000000602397 | 01 |
| IN | 200521880 | 05 |
| Street Address |
8890 E 116TH ST SUITE 300 |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457340622 | Carl M Pafford | Emergency Medicine | 8890 E 116th St, Suite 300, Fishers, IN 46038-2820 | 2005-10-19 |
| 1578129508 | Community Health Network | Family Medicine | 8890 E 116th St, Fishers, IN 46038-2856 | 2019-05-15 |
| 1356793301 | Holly Barna | Nurse Practitioner | 8890 E 116th St, Fishers, IN 46038 | 2016-07-01 |
| 1528408028 | Tricia J. Stadler | Nurse Practitioner | 8890 E 116th St, Suite 300, Fishers, IN 46038-2820 | 2013-06-28 |
| 1922444785 | Tara K Land | Family Medicine | 8890 E 116th St, Suite 300, Fishers, IN 46038-2856 | 2013-05-20 |
| 1538367552 | Christina Diane Boccone | Pediatrics | 8890 E 116th St, Suite 260, Fishers, IN 46038-2856 | 2007-07-11 |
| 1043230162 | Deborah L Schutz | Nurse Practitioner | 8890 E 116th St, Suite 300, Fishers, IN 46038-2820 | 2006-07-20 |
| 1780658534 | Timothy L Fletchall | Family Medicine | 8890 E 116th St, Suite 300, Fishers, IN 46038-2820 | 2006-02-16 |
| 1295713576 | Aaron Scott Carlisle | Family Medicine | 8890 E 116th St, Suite 300, Fishers, IN 46038-2820 | 2006-01-05 |
| 1629069067 | Robert Todd Rudicel | Pediatrics | 8890 E 116th St, Suite 260, Fishers, IN 46038-2856 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110409 | Rachel E Dinkledine | Family Medicine | 11845 Allisonville Rd Ste 400, Fishers, IN 46038-2313 | 2019-08-26 |
| 1982155487 | Beacon Primary Care LLC | Family Medicine | 10967 Allisonville Rd Ste 110, Fishers, IN 46038-2634 | 2016-10-19 |
| 1457778797 | William Lang | Family Medicine | 8890 E 116th St Ste 300, Fishers, IN 46038-2857 | 2014-03-25 |
| 1215187042 | Anita D Bhagat | Family Medicine | 11501 Cumberland Road, Suite 500, Fishers, IN 46037-7010 | 2008-09-29 |
| 1437160256 | Stephen P Elliott | Family Medicine | 11979 Fishers Crossing Dr, Fishers, IN 46038-2778 | 2006-08-10 |
| 1134141476 | Earnest Berry | Family Medicine | 11675 Timken Ct, Fishers, IN 46037-8104 | 2006-07-24 |
| 1437176468 | Community Hospitals of Indiana Inc | Family Medicine | 13121 Olio Rd, Suite 300, Fishers, IN 46037-7240 | 2006-07-16 |
| 1841216629 | Risheet R Patel | Family Medicine | 9780 Lantern Rd Ste 370, Fishers, IN 46037-4093 | 2006-07-14 |
| 1457376030 | Community Hospitals of Indiana Inc | Family Medicine | 11501 Cumberland Rd, Suite 500, Fishers, IN 46037-7010 | 2006-07-13 |
| 1487606034 | Meredith L Langhorst | Family Medicine | 10995 N. Allisonville Rd., Fishers, IN 46038-2617 | 2006-05-16 |
| Find all providers in FISHERS | ||||
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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.