MELISSA BEARDEN VANDENBERG


Address: 1855 Springhill Ave, Mobile, AL 36607-2301
Phone: 2514713544

MELISSA BEARDEN VANDENBERG (NPI# 1386642148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386642148
Entity Type Individual
Full Name MELISSA BEARDEN VANDENBERG
Credential PA-C
Practice Address 1855 Springhill Ave
Mobile
AL 36607-2301
Practice Telephone 2514713544
Practice Fax Number 2514767254
Mailing Telephone 2514713544
Mailing Fax Number 2514767254
Enumeration Date 2005-07-14
Last Update Date 2009-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA-63 AL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS BLUE SHIELD 510-42399 01

Other Providers MELISSA VANDENBERG

NPI Name Taxonomy Address Enumeration
1093180465 Melissa Vandenberg Pharmacist 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2015-12-09

Office Location

Street Address 1855 SPRINGHILL AVE
City MOBILE
State AL
Zip Code 36607-2301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639177470 Peter N/a Pluscht IIi Thoracic Surgery (Cardiothoracic Vascular Surgery) 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-13
1750389532 Cardio-thoracic & Vascular Surgical Associates, P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1023016888 John William Boyer Thoracic Surgery (Cardiothoracic Vascular Surgery) 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1669470423 Larkin Jeffrey Daniels Thoracic Surgery (Cardiothoracic Vascular Surgery) 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1447258207 Jason Gabriel White Physician Assistant 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1083612899 John Everett Stone Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1497754204 Frank L. Mcphillips Surgery 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1215935044 Jennifer Davis Johnson Physician Assistant 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1770581589 William Earle Johnson IIi Surgery 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14
1831197672 Gregory Sullivan Mcgee Surgery 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821404559 Cindy Strahan Occupational Therapy Assistant 2900 Sping Hill Ave, Mobile, AL 36607 2014-07-02
1043649072 Rebecca Clara Eskridge Speech-Language Pathologist 200 C East Portier Ct., Mobile, AL 36607 2013-11-12
1497016794 Gregory Mark Quatrino Surgery 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 2012-06-03
1457682197 Joseph Michael Mckean Dentist 3050 Dauphin Square Connector, Mobile, AL 36607 2010-01-20
1679711956 Sheldon Scott Bradley Nurse Practitioner 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 2009-01-26
1508058132 Wanda K Miller Occupational Therapist 1903 Springhill Ave, Mobile, AL 36607 2007-08-17
1811035322 George N Lukes Dentist 2653a Old Shell Road, Mobile, AL 36607 2007-02-05
1487702999 Carl Maltese Specialist 1901 Springhill Ave, Mobile, AL 36607 2007-01-08
1790871242 Cheryl Lambert Thames Physical Therapist 2006 Airport Blvd., Mobile, AL 36607 2006-10-04
1760576227 Jane Bagwell Hale Physical Therapist 3202 Old Shell Road, Mobile, AL 36607 2006-10-02
Find all providers in zip 36607

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437308665 Melanie D. Busby Physician Assistant 3610 Springhill Memorial Dr. N., Mobile, AL 36608-1162 2008-09-11
1558396093 Karen Renae Jordan Physician Assistant 1855 Spring Hill Ave, Mobile, AL 36607-2301 2006-07-12
1346756160 Nicholas K Bolling Physician Assistant 6144 Airport Blvd, Mobile, AL 36608-3143 2017-12-15
1104345263 Nathanael Christopher Stuck Physician Assistant 1601 Center St Ste 2s, Mobile, AL 36604-1541 2017-09-10
1942749965 Judith Blake Physician Assistant 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 2017-02-23
1740654631 Brent Wildberger Physician Assistant 1855 Spring Hill Ave, Mobile, AL 36607-2301 2015-11-16
1508269283 Cassie Jones Physician Assistant 1855 Spring Hill Ave, Mobile, AL 36607-2301 2014-10-08
1972931533 Shawn Clark, M.d., P.C. Physician Assistant 6701 Airport Blvd, #c138, Mobile, AL 36608-6705 2013-10-17
1841524212 Claire Hinton Naylor Physician Assistant 6144 Airport Blvd, Mobile, AL 36608 2009-10-01
1396994521 Susan Angerholzer Overton Physician Assistant 1901 Springhill Ave, Mobile, AL 36607-2303 2008-09-11
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36607

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Dataset Information

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.

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