MS. MELODY FAN (NPI# 1548308398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548308398 |
| Entity Type | Individual |
| Full Name | MS. MELODY FAN |
| Credential | PA-C |
| Practice Address |
1135 116th Ave Ne Suite 620 Bellevue WA 98004 |
| Practice Telephone | 4254548016 |
| Practice Fax Number | 4254532827 |
| Mailing Telephone | 4254548016 |
| Mailing Fax Number | 4254532827 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004586 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10004586 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1135 116TH AVE NE SUITE 620 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
| 1366092728 | Sharpevision Pllc | Optometrist | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2019-09-18 |
| 1447775960 | Ngan Kim Hoang | Pharmacist | 1135 116th Ave Ne, #105, Bellevue, WA 98004 | 2017-08-04 |
| 1871831420 | Jacqueline Suzanne Berkeihiser | Counselor | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2013-01-16 |
| 1306193255 | Raisa R Volodarsky | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2012-08-09 |
| 1952673238 | Northwest Center for Urology | Urology | 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 | 2012-02-02 |
| 1548545973 | Daniel Hee-chul Hahm | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2011-10-17 |
| 1811272792 | Kendra Lian Marks | Audiologist | 1135 116th Ave Ne, Suite 500, Bellevue, WA 98004-4623 | 2011-10-11 |
| 1134439540 | Aeisha Bhatti Adnan | Physician Assistant | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-10-19 |
| 1730496092 | Washington Urology Associates, Pllc | Clinic/Center | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066130 | Neon Corpuz | Physician Assistant | 4932 163rd Pl Se, Bellevue, WA 98006-4733 | 2014-05-29 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1407124407 | Natalya Vlaskin | Physician Assistant | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2011-12-05 |
| 1831230911 | Nancy L Clark | Physician Assistant | 13033 Bellevue Redmond Rd, #110, Bellevue, WA 98005-2633 | 2007-02-09 |
| 1649326273 | Gary N Wellman | Physician Assistant | 301 116th Ave Se Ste 105, Suite #250, Bellevue, WA 98004-6482 | 2007-01-26 |
| 1164503314 | Bryna Dunaway Mccollum | Physician Assistant | 13231 Se 36th St Ste 110, Bellevue, WA 98006-7321 | 2006-10-17 |
| 1689201113 | Brenna Nicole Carlson | Physician Assistant | 2510 Bellevue Medical Center Dr Ste 145a, Bellevue, NE 68123-1556 | 2020-03-25 |
| 1356871404 | Nicole B Bazar | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2017-06-12 |
| 1861840332 | Miguel A Escalera | Physician Assistant | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2016-05-25 |
| 1538516927 | Rachel I Drayer | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004 | 2016-05-16 |
| Find all providers in BELLEVUE | ||||
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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.