THERESA ELIZABETH MELLETTE (NPI# 1922488956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922488956 |
| Entity Type | Individual |
| Full Name | THERESA ELIZABETH MELLETTE |
| Credential | D.O. |
| Practice Address |
1320 Maplewood Ave Ronceverte WV 24970-8016 |
| Practice Telephone | 3046474411 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3100 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TRAINING | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Jefferson St, Lewisburg, WV 249011177 | 3046453220 |
| Street Address |
1320 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-8016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639124142 | Greenbrier Vmc LLC | Anesthesiology | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2006-05-23 |
| 1952917254 | Kelsey Peters | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-09-22 |
| 1750994240 | Stephanie D Holliday | Nurse Practitioner | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-08-25 |
| 1972125995 | Charleston Area Medical Center, Inc. | Emergency Medicine | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-05-13 |
| 1184285728 | Savannah Foster | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2019-06-25 |
| 1598229551 | Brandy Lynn Anderson | Nurse Practitioner | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2019-01-24 |
| 1386198240 | Erin Allen | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2016-08-09 |
| 1326493750 | Jared Eames | Family Medicine | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2016-05-04 |
| 1609255082 | Jonathan Aaron Donahue | Hospitalist | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2015-05-19 |
| 1841680618 | Aaron Mark Taylor | Pharmacist | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2015-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114546 | Family Care Plus Pllc | Family Medicine | 320 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1364 | 2020-05-04 |
| 1073700837 | Debra C Sams Do | Family Medicine | 122 Maplewood Avenue, Ronceverte, WV 24970 | 2007-09-26 |
| 1154318632 | Debra R Crites-sams | Family Medicine | 1478 Maplewood Ave, Ronceverte, WV 24970-8017 | 2005-09-30 |
| 1720071285 | Leslie Abigail Winters | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2005-08-30 |
| 1326493750 | Jared Eames | Family Medicine | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2016-05-04 |
| 1386025310 | Jesse R. Chaffin | Family Medicine | 1322 Maplewood Ave, Ronceverte, WV 24970 | 2015-06-16 |
| 1689054363 | Anastasia Yi | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2015-06-08 |
| 1720349475 | Jamie Louise Dilly | Family Medicine | 200 Maplewood Ave, Ronceverte, WV 24970-1361 | 2012-05-30 |
| 1396024014 | Jessica Sue Aliff | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-11 |
| 1982770244 | Greenbrier Physicians, Inc. | Family Medicine | 200 Maplewood Ave, Ronceverte, WV 24970-1334 | 2006-11-28 |
| Find all providers in RONCEVERTE | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on THERESA ELIZABETH MELLETTE.
| 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.