ANGELICA MELILLO KNICKERBOCKER


Address: 1330 N Beckley Ave, Dallas, TX 75203-1271
Phone: 2149417200

ANGELICA MELILLO KNICKERBOCKER (NPI# 1790148591) 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) 1790148591
Entity Type Individual
Full Name ANGELICA MELILLO KNICKERBOCKER
Other Name ANGELICA BIANCA MELILLO
Credential MD, MPH
Practice Address 1330 N Beckley Ave
Dallas
TX 75203-1271
Mailing Address 600 Ne 36th St Apt 1409
Miami
FL 33137-3938
Practice Telephone 2149417200
Mailing Telephone 3478800646
Enumeration Date 2016-03-30
Last Update Date 2020-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology S4798 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program FL Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1611 Nw 12th Ave, Miami, FL 331361005 3055855640

Office Location

Street Address 1330 N BECKLEY AVE
City DALLAS
State TX
Zip Code 75203-1271

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063483386 Michael Spellman Harris Ophthalmology 1330 N Beckley Ave, Dallas, TX 75203-1271 2006-01-27
1326578113 Diane Huynh Obstetrics & Gynecology 1330 N Beckley Ave, Dallas, TX 75203-1271 2017-06-14
1003161118 Alfred Delatorre Jr. Technician/Technologist 1330 N Beckley Ave, Dallas, TX 75203-1271 2012-07-16
1255691903 Nirmala Vision Pllc Ophthalmology 1330 N Beckley Ave, Suite 104, Dallas, TX 75203-1271 2012-05-29
1760642581 Kessler Womens Healthcare Pa Obstetrics & Gynecology 1330 N Beckley Ave, Dallas, TX 75203-1271 2008-06-16
1093994824 William James Bennett Surgery 1330 N Beckley Ave, 102, Dallas, TX 75203-1271 2007-10-29
1104046200 Edward L Coben Counselor 1330 N Beckley Ave, Suite 101, Dallas, TX 75203 2007-04-30
1164573861 Kecia Ledet Foxworth Obstetrics & Gynecology 1330 N Beckley Ave, Dallas, TX 75203-1271 2007-01-16
1477616886 Theresa M Patton Obstetrics & Gynecology 1330 N Beckley Ave, Dallas, TX 75203-1271 2006-12-18
1962475160 Patricia A. Larue Obstetrics & Gynecology 1330 N Beckley Ave, Dallas, TX 75203-1271 2006-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386264125 Dylan Lopez Internal Medicine Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 2020-04-22
1902303183 Sarah Mcferon Nurse Practitioner 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 2018-04-12
1659727030 Kathy Lightsey Counselor 1836 Berwick Ave, Dall, TX 75203 2016-05-04
1659712453 Maura M Mcglynn Occupational Therapist 1520 North Beckley Ave 1033, Dallas, TX 75203 2013-07-10
1093153454 Adrienne Workman Internal Medicine 1441 North Beckley Avenue, Dallas, TX 75203 2013-06-07
1851642490 April Rebecca Meras Nurse Practitioner 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 2012-09-22
1699081612 East Run Management, Ltd. Company Alzheimer Center (Dementia Center) 2653 Cedar Crest Blvd, Dallas, TX 75203 2010-08-27
1538471305 Preetivi Ellis Internal Medicine 1441 N Beckley Ave Fl 4, Dallas, TX 75203 2010-07-09
1306085378 Maggie Fardella Counselor 201 E 9th St, Dallas, TX 75203 2009-02-13
1811159122 Maryam Raza Md Pa Internal Medicine 1441 N. Beckley, Dallas, TX 75203 2008-06-27
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134507007 Robert William Gladney Obstetrics & Gynecology 4224 Swiss Ave Ste 201, Dallas, TX 75204-6670 2015-05-12
1366820250 Casey Roth Obstetrics & Gynecology 3600 Gaston Ave Ste 601, Dallas, TX 75246-1806 2015-05-11
1952703373 Unified Women's Healthcare of Texas Pllc Obstetrics & Gynecology 1717 Mckinney Ave, Suite 700, Dallas, TX 75202-1237 2014-09-17
1710399019 Paula Noemi Lomba Obstetrics & Gynecology 5939 Harry Hines Blvd Fl 5, Dallas, TX 75235 2014-05-21
1114343241 Vibrant Health Md, Pllc Obstetrics & Gynecology 9119 Cochran Bluff Ln, Dallas, TX 75220-5235 2014-03-13
1205279395 Tara O'connor Obstetrics & Gynecology 7777 Forest Ln Ste 570, Dallas, TX 75230-2571 2013-04-09
1295083491 Jose L Rodriguez Obstetrics & Gynecology 8160 Walnut Hill Ln Ste 328, Dallas, TX 75231-4370 2012-08-17
1194080440 Rakesh Gupta Md Obstetrics and Gynecology, Pa Obstetrics & Gynecology 13215 Glad Acres, Dallas, TX 75234 2012-07-11
1144580325 Grace Marie Mooken Obstetrics & Gynecology 7777 Forest Ln Suite D550, Dallas, TX 75230 2012-05-22
1275891632 Bianca Marie Caram Obstetrics & Gynecology 712 N Washington Ave Ste 250, Dallas, TX 75246-1631 2012-04-24
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City DALLAS
Zip Code 75203

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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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