MELISSA BALL FONER (NPI# 1184091407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184091407 |
Entity Type | Individual |
Full Name | MELISSA BALL FONER |
Credential | PA-C |
Practice Address |
493 Dr Ml King Jr Ave Memphis TN 38126-2548 |
Mailing Address |
215 Buntyn St Memphis TN 38111-1609 |
Practice Telephone | 9015260802 |
Practice Fax Number | 9015254483 |
Mailing Telephone | (901) 652-4250 |
Enumeration Date | 2015-08-24 |
Last Update Date | 2020-09-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2811 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5050 Poplar Ave Ste 511, Memphis, TN 381570500 | 9016823035 | 9016823049 |
Street Address |
493 DR ML KING JR AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38126-2548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396192746 | Foner Med, Pllc | Clinic/Center | 493 Dr Ml King Jr Ave, Memphis, TN 38126-2548 | 2016-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427287184 | Odessa A. Williamson | Social Worker | 694 Williams St., Memphis, TN 38126 | 2009-07-02 |
1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
1679797062 | Janice Rene Smith | Counselor | 427 Linden Avenue, Memphis, TN 38126 | 2007-04-13 |
1144236902 | Memphis Health Center, Inc. | Clinic/Center | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-08-01 |
1598989709 | Rhonda L. Mccloude | Counselor | 427 Linden Ave, Memphis, TN 38126 | 2007-04-12 |
1366502148 | Sharikia S Harris | Dentist | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-12-11 |
1316040447 | Memphis Health Center, Inc | Pharmacy | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-09-06 |
1275785537 | Odessa's Foster Care Home, Inc. | Foster Care Agency | 694 Williams, Memphis, TN 38126-0001 | 2008-10-17 |
1508072760 | Lamarcus Wingate | Student in an Organized Health Care Education/Training Program | 255 S Dunlap St # 230, Memphis, TN 38126-1801 | 2007-05-15 |
1437112026 | Dva Renal Healthcare Inc | Clinic/Center | 889 Dr Ml King Jr Ave, Memphis, TN 38126-1928 | 2006-04-06 |
Find all providers in zip 38126 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821523119 | Benjamin Scott James | Physician Assistant | 109 N Barksdale St, Memphis, TN 38104-7613 | 2017-04-25 |
1740686302 | Rachel Anna Brownfield | Physician Assistant | 5658 S Rex Rd, Memphis, TN 38119-3822 | 2014-11-10 |
1043445380 | Mary Boland Hamilton | Physician Assistant | 80 Humphreys Suite 230, Memphis, TN 38117 | 2009-05-15 |
1548418767 | Amy Bolt Miller | Physician Assistant | 5658 S Rex Rd # 200, Memphis, TN 38119-3822 | 2008-08-29 |
1841386182 | Amy Kerns | Physician Assistant | 6063 Mt Moriah Rd Ext Ste 4, Memphis, TN 38115-2665 | 2006-10-05 |
1366467979 | Diane Norrby | Physician Assistant | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2006-07-13 |
1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
1548895568 | Sina Nezakat | Physician Assistant | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2020-03-10 |
1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
1043850241 | Sara Beth Brauninger | Physician Assistant | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2020-01-15 |
Find all providers in MEMPHIS |
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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.