MR. CURTIS L MELLEN (NPI# 1194794008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194794008 |
| Entity Type | Individual |
| Full Name | MR. CURTIS L MELLEN |
| Credential | PA-C |
| Practice Address |
801 W 8th St Coffeyville KS 67337-4109 |
| Mailing Address |
Po Box 1832 Pittsburg KS 66762-1832 |
| Practice Telephone | 6202514300 |
| Practice Fax Number | 6202514979 |
| Mailing Telephone | 6202311960 |
| Mailing Fax Number | 6202312808 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
T00154 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 W 8TH ST |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666026 | Rhonda Michelle Line | Physician Assistant | 801 W 8th St, Coffeyville, KS 67337 | 2005-08-22 |
| 1053933598 | Kelly Laine Mcguire | Nurse Practitioner | 801 W 8th St, Coffeyville, KS 67337-4109 | 2020-05-07 |
| 1083235550 | Maranda Chantell Scott | Nurse Practitioner | 801 W 8th St, Coffeyville, KS 67337-4109 | 2020-05-06 |
| 1356990477 | Tara Wright | Dental Hygienist | 801 W 8th St, Coffeyville, KS 67337-4109 | 2019-09-11 |
| 1063074532 | Angel R Speicher | Dental Hygienist | 801 W 8th St, Coffeyville, KS 67337-4109 | 2019-07-03 |
| 1619448552 | Whitney Garretson | Nurse Practitioner | 801 W 8th St, Coffeyville, KS 67337-4109 | 2018-12-17 |
| 1174045439 | Tonya Kendrick | Nurse Practitioner | 801 W 8th St, Coffeyville, KS 67337-4109 | 2017-07-08 |
| 1164943866 | Grant M Webster | Dentist | 801 W 8th St, Coffeyville, KS 67337-4109 | 2017-07-03 |
| 1588198758 | Erin Veronie | Registered Nurse | 801 W 8th St, Coffeyville, KS 67337-4109 | 2017-04-14 |
| 1528438223 | Dorothy Murdock | Nurse Practitioner | 801 W 8th St, Coffeyville, KS 67337-4109 | 2015-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669725396 | Traeger Nelson Tvedten | Chiropractor | 411 1/2 West 11th Street, Coffeyville, KS 67337 | 2012-10-18 |
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1093047185 | Terry D Powell Radiation Oncologist, Inc. | Radiology | 1400 W 4th St, Radiation Oncology Dept, Coffeyville, KS 67337 | 2010-02-01 |
| 1649446931 | Windsor Place At Home Care LLC | Technician | 415 W 11th, Coffeyville, KS 67337 | 2008-05-06 |
| 1679668115 | Daniel H Chappell | Obstetrics & Gynecology | 801 W 8th St., Coffeyville, KS 67337 | 2006-10-03 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1114026937 | Stephen A Miller | Obstetrics & Gynecology | 1717 West Eighth, Coffeyville, KS 67337 | 2006-09-21 |
| 1285600379 | Coffeyville Regional Medical Center, Inc. | General Acute Care Hospital | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-02-27 |
| Find all providers in zip 67337 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487938270 | Candace D Chesnut | Physician Assistant | 209 W 7th St, Coffeyville, KS 67337-4954 | 2011-09-28 |
| 1316926991 | Brenda Louise Pursley | Physician Assistant | 209 W 7th St, Coffeyville, KS 67337-4954 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
| City | COFFEYVILLE |
| Zip Code | 67337 |
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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.