MEGAN MIETELSKI (NPI# 1184949216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184949216 |
| Entity Type | Individual |
| Full Name | MEGAN MIETELSKI |
| Credential | M.D. |
| Practice Address |
15300 West Ave Orland Park IL 60462-4600 |
| Mailing Address |
12251 S 80th Ave Suite 1630 Palos Heights IL 60463-1256 |
| Practice Telephone | 7085905304 |
| Practice Fax Number | 7085905308 |
| Mailing Telephone | 7089235173 |
| Mailing Fax Number | 7089235018 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01073767A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036142172 | 05 | |
| IL | MEDICARE PTAN | F400368541 | 01 |
| Street Address |
15300 WEST AVE |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804628 | John G Hohner | Neuromusculoskeletal Medicine & OMM | 15300 West Ave, Orland Park, IL 60462-4600 | 2005-07-07 |
| 1508463969 | Brianna Panka | Social Worker | 15300 West Ave, Orland Park, IL 60462-4600 | 2020-10-07 |
| 1275157133 | Lauren Renee Zuro | Dietitian, Registered | 15300 West Ave, Orland Park, IL 60462-4600 | 2020-06-05 |
| 1942751664 | Michelle Marie Hartnett | Physician Assistant | 15300 West Ave, Suite 20 South, Orland Park, IL 60462-4600 | 2016-10-18 |
| 1003295338 | Andrea Jean Moormann | Occupational Therapist | 15300 West Ave, West Bldg., Suite 310, Orland Park, IL 60462-4600 | 2015-05-19 |
| 1073909123 | Eugenia Kyriakopoulos | Family Medicine | 15300 West Ave, Orland Park, IL 60462 | 2015-04-15 |
| 1962892232 | Mary A Merlo | Nurse Practitioner | 15300 West Ave, Orland Park, IL 60462-4600 | 2015-01-26 |
| 1063814796 | Oral & Maxillofacial Surgery of Chicago | Dentist | 15300 West Ave, Orland Park, IL 60462-4600 | 2014-09-25 |
| 1881008472 | Robin Lee Gallardi | Dentist | 15300 West Ave, Suite 113, Orland Park, IL 60462-4600 | 2014-06-11 |
| 1275954117 | Mary T Rhodes I | Nurse Practitioner | 15300 West Ave, Orland Park, IL 60462-4600 | 2013-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851687453 | Thomas M. Iannucci | Obstetrics & Gynecology | 16532 Garnet Court, Orland Park, Orland Park, IL 60467 | 2011-06-22 |
| 1922242049 | Amedee Charles Mathelier | Obstetrics & Gynecology | 13602 Arrowhead Court, Orland Park, IL 60462 | 2009-04-21 |
| 1700095163 | Lawn Obstetrics and Gynecology, S.c. | Obstetrics & Gynecology | 16609 S. 107th Court, Orland Park, IL 60467-9016 | 2007-05-22 |
| 1164538161 | Sam F Flosi | Obstetrics & Gynecology | 16609 107th St, Orland Park, IL 60467-9016 | 2006-08-22 |
| 1326085978 | Glenwood Medical Corp Ltd | Obstetrics & Gynecology | 10735 W 159th Street, Orland Park, IL 60467 | 2006-06-01 |
| 1801894969 | Alka Kale | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467 | 2005-07-12 |
| 1124373295 | Whitney Jean Sigala | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467-8786 | 2012-07-16 |
| 1700194339 | Laureen L Ambrose Md Sc | Obstetrics & Gynecology | 15300 West Ave, Suite 205, Orland Park, IL 60462-4600 | 2010-09-16 |
| 1609193077 | Tiffany Wilson | Obstetrics & Gynecology | 9550 W 167th St, Orland Park, IL 60467-5561 | 2010-04-26 |
| 1255660312 | Palos Medical Group, LLC. | Obstetrics & Gynecology | 15300 West Ave, Orland Park, IL 60462-4600 | 2009-12-18 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
Please comment or provide details below to improve the information on MEGAN MIETELSKI.
| 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.