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).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Nw 12th Ave, Miami, FL 331361005 | 3055855640 |
| Street Address |
1330 N BECKLEY AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75203-1271 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| 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 |
| Find all providers in DALLAS | ||||
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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.