MELINA CHAN (NPI# 1871712109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871712109 |
| Entity Type | Individual |
| Full Name | MELINA CHAN |
| Credential | MD |
| Practice Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Practice Telephone | 5016868000 |
| Mailing Telephone | 5016868000 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
15908 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
4301 W MARKHAM ST # 783 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960194 | Dennis E Mcdonnell | Neurological Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2005-05-27 |
| 1255931226 | Satya Narayana Patro | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-10-29 |
| 1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
| 1144836495 | Andrea Barnes | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-22 |
| 1053927012 | Abigail E Nichols | Advanced Practice Midwife | 4301 W Markham St # 783, Little Rock, AR 72205-7199 | 2020-09-16 |
| 1629682653 | Christina Mantione | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-08 |
| 1467065250 | Christina Louise Rone | Registered Nurse | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1700499506 | Asjia Johnson | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1982215968 | Brooke Kathlen Lea | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-12 |
| 1003424243 | Rachel Sloan | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457441016 | Jerril Green | Pediatrics | 14319 Saint Michael Dr, Little Rock, AR 72211-5572 | 2006-10-13 |
| 1891808713 | Ronald C Sanders Jr. | Pediatrics | 1 Childrens Way # 512-12, Little Rock, AR 72202-3500 | 2006-08-16 |
| 1730687450 | Mary Lynne Shults | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-28 |
| 1255637070 | Jeremy Garlick | Pediatrics | 1 Childrens Way, Little Rock, AR 72202-3500 | 2011-01-27 |
| 1346475498 | Abdallah Riad Dalabih | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2009-05-19 |
| 1295969632 | Matthew Phillip Malone | Pediatrics | 1 Childrens Way, Slot #512-12, Little Rock, AR 72202-3500 | 2009-05-13 |
| 1134321961 | Rupal Tansukhlal Bhakta | Pediatrics | 1 Childrens Way # 512-3, Little Rock, AR 72202-3500 | 2007-06-04 |
| 1306968284 | Michael Hugh Stroud | Pediatrics | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2007-04-04 |
| 1639269293 | Debra Fiser | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1366532921 | Mark Heulitt | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.