MELANIE KIM BERGMAN (NPI# 1902892987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902892987 |
| Entity Type | Individual |
| Full Name | MELANIE KIM BERGMAN |
| Other Name | MELANIE KIM SNYDER |
| Credential | M.D. |
| Practice Address |
101 W 8th Ave Ste 1400 Spokane WA 99204-2307 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5094742200 |
| Practice Fax Number | 5092277070 |
| Mailing Telephone | 5094742200 |
| Mailing Fax Number | 5092277070 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD00041339 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS OF IDAHO | KS038 | 01 | |
| RAILROAD MEDICARE | 980000404 | 01 | |
| WA | LABOR & INDUSTRIES | 0161207 | 01 |
| AETNA | 7711025 | 01 | |
| WA | 8316663 | 05 | |
| ID | 806372200 | 05 | |
| BLUE SHIELD OF IDAHO | 000010139925 | 01 | |
| WA | ASURIS NW HEALTH | 8095SN | 01 |
| Street Address |
101 W 8TH AVE STE 1400 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891064143 | Christina Lee Smith | Physician Assistant | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2011-12-15 |
| 1275708240 | Mary Sloan Foutz | Nurse Practitioner | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2008-04-29 |
| 1285675587 | Susannah May Mourton | Obstetrics & Gynecology | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2006-06-09 |
| 1063408052 | Robert Anthony Fairfax | Physician Assistant | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2005-09-23 |
| 1235125220 | Elizabeth Ann Grosen | Obstetrics & Gynecology | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1285675587 | Susannah May Mourton | Obstetrics & Gynecology | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2006-06-09 |
| 1235125220 | Elizabeth Ann Grosen | Obstetrics & Gynecology | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750520516 | Providence Health & Services Wa | Obstetrics & Gynecology | 1717 13th Street, Suite 300, Everett, WA 98201-1621 | 2009-02-18 |
| 1619992724 | Amy Elizabeth Bondurant | Obstetrics & Gynecology | 1101 Madison St Ste 1500, Seattle, WA 98104-3551 | 2006-07-12 |
| 1235192584 | Michael Allan Bidus | Obstetrics & Gynecology | 11511 Canterwood Blvd Nw Ste 100, Gig Harbor, WA 98332 | 2006-04-08 |
| 1497249932 | Jaycee Wong | Obstetrics & Gynecology | 1003 S 5th St, Tacoma, WA 98405-4210 | 2018-06-19 |
| 1982947149 | Deirdre Knobeloch | Obstetrics & Gynecology | 1560 N 115th St Ste 101, Seattle, WA 98133 | 2013-04-05 |
| 1528303336 | Christopher Michael Tarney | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7075 | 2012-12-05 |
| 1750529244 | Franciscan Medical Group | Obstetrics & Gynecology | 1624 S I St, Tacoma, WA 98405-5016 | 2009-01-22 |
| 1508028788 | Kemi Morenikeji Doll | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-27 |
| 1093999740 | Renata Rose Urban | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-12-18 |
| 1871773226 | Gynecology Cancer Clinic Tr | Obstetrics & Gynecology | 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 | 2007-11-13 |
| Find all providers with the same taxonomy | ||||
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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.