MELANIE DAWN ROLLA


Address: 1418 Riverbank Rd, Stamford, CT 06903-2015
Phone: 2158593131

MELANIE DAWN ROLLA (NPI# 1407952195) 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) 1407952195
Entity Type Individual
Full Name MELANIE DAWN ROLLA
Credential PAC
Practice Address 1418 Riverbank Rd
Stamford
CT 06903-2015
Practice Telephone 2158593131
Enumeration Date 2006-09-16
Last Update Date 2019-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA BLUE SHIELD 1672793 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
601 W 2nd St, Bloomington, IN 474032317 8123345081 8123398344

Office Location

Street Address 1418 RIVERBANK RD
City STAMFORD
State CT
Zip Code 06903-2015

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1255851481 Stella Medical Care LLC Skilled Nursing Facility Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 2017-06-20
1447529284 Emilio Delia Pharmacist 29 Fairway Drive, Stamford, CT 06903 2011-12-23
1174696017 City of Stamford Skilled Nursing Facility 88 Rock Rimmon Road, Stamford, CT 06903 2006-11-16
1477622579 Stanley Rosner & Blanche A. Rosner LLC Social Worker 415 Saw Mill Rd, Stamford, CT 06903 2006-11-06
1841759107 Debra Fink Tomsky Speech-Language Pathologist 2 S Lake Dr, Stamford, CT 06903-1005 2019-03-17
1720357528 Herbert Steven Cohen Psychologist 106 Gun Club Rd, Stamford, CT 06903-1024 2011-12-22
1164594065 Family Life Psychological Services PC Psychologist 106 Gun Club Road, Stamford, CT 06903-1024 2006-11-15
1316265143 Renew Counseling Associates Community/Behavioral Health 455 Old Long Ridge Rd, Stamford, CT 06903-1112 2010-05-04
1578831525 Alan Jule Ranhosky General Practice 2874 Long Ridge Rd, Stamford, CT 06903-1119 2011-12-06
1538772215 Amanda Masterson Physical Therapist 39 Happy Hill Rd, Stamford, CT 06903-1203 2020-08-24
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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
1992857072 Daniel Jew Physician Assistant 30 Shelburne Rd., Stamford Hospital, Dept. of Cardiac Surgery, Stamford, CT 06904 2007-01-17
1548254774 Rebecca O'neill Physician Assistant 1177 Summer St, 5th Floor, Stamford, CT 06905-5572 2005-09-02
1790313021 Corina Dasilva Physician Assistant 1 Hospital Plz, Stamford, CT 06902-3602 2020-03-31
1881235752 Molly Stiles Arneth Physician Assistant 1 Hospital Plz, Stamford, CT 06902-3602 2019-10-02
1720646672 David Wallace Physician Assistant 1 Hospital Plz, Stamford, CT 06902-3602 2019-06-04
1083188981 Sean Vincent Rothenburger Physician Assistant 1 Hospital Plz, Stamford, CT 06902 2019-01-14
1659894772 Jennifer Bellucci Physician Assistant 1 Hospital Plz, Stamford, CT 06902-3602 2017-07-20
1538609169 Paul Anthony Buonocore Physician Assistant 32 Strawberry Hill Ct, 3rd Floor, Stamford, CT 06902-2594 2017-03-01
1922546514 Maria De Vivo Physician Assistant 1 Hospital Plz, Stamford, CT 06902 2017-02-03
1558812966 Ashley Lynn Henry Physician Assistant 1 Hospital Plz, Stamford, CT 06902 2016-10-20
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Competitor

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City STAMFORD
Zip Code 06903

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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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