MS. CONNIE ANN MELTON


Address: 1025 S 2nd St, Louisville, KY 40203-2823
Phone: 5025842473

MS. CONNIE ANN MELTON (NPI# 1942245253) 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) 1942245253
Entity Type Individual
Full Name MS. CONNIE ANN MELTON
Credential PA-C
Practice Address 1025 S 2nd St
Louisville
KY 40203-2823
Mailing Address Po Box 87
Dupont
IN 47231-0087
Practice Telephone 5025842473
Practice Fax Number 5026570228
Mailing Telephone 8122733737
Enumeration Date 2006-06-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA152 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 50006904 05

Office Location

Street Address 1025 S 2ND ST
City LOUISVILLE
State KY
Zip Code 40203-2823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245478080 Karen Diane Turner Nurse Practitioner 1025 S 2nd St, Louisville, KY 40203-2823 2009-02-02

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1295211738 Integrated Health Systems LLC Psychiatry & Neurology 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 2018-07-18
1104317734 Usimc of West Virginia Medical Corporation Clinic/Center 908 W Broadway Fl 8, Louisville, KY 40203 2018-05-18
1699296293 Jennifer Christine Angermeier Nurse Practitioner 1130 W Chestnut St, Louisville, KY 40203 2017-07-05
1083162812 Deloris Jean Johnson Social Worker 1022 South 6th Street, Louisville, KY 40203 2016-09-21
1770978512 Michael Bricken Pediatrics 760 S Hancock St # B100, Louisville, KY 40203 2015-03-30
1770906885 Jason Scott Underhill Counselor 214 E Breckinridge St, Louisville, KY 40203 2014-01-24
1316372592 Tonya Alicia Clay Marriage & Family Therapist 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 2013-09-06
1780929216 Harambee Health Center, Inc Clinic/Center 800 South Preston St., Louisville, KY 40203 2012-12-10
1083977276 Synergy Rehabilitation, Inc. Physical Therapist 832 S. 6th Street, Suite C, Louisville, KY 40203 2012-06-21
1043572803 Sonya Helen Mitchell Counselor 2225 W. Broadway, Louisville, KY 40203 2012-06-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558982348 Damian Morriston Physician Assistant 7088 Aspen Grove Ct, Louisville, KY 40241-2522 2020-05-03
1063041457 Molly Ritter Physician Assistant 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 2020-04-07
1629582739 Addie C Rosenberger Physician Assistant 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 2017-11-28
1750749362 Erin Mary Quinn Physician Assistant 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 2016-02-10
1043465164 Myron Jeffrey Hardesty Physician Assistant 7505 New Lagrange Road, Louisville, KY 40222 2008-11-18
1992966279 Sharin Lynn Berger Physician Assistant 928 Treece St, Louisville, CO 80027-8511 2008-06-19
1528112166 Wendy M Warren Physician Assistant 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207-4724 2007-01-22
1588604896 Community Ear Nose Throat & Allergy,pllc Physician Assistant 4950 Norton Healthcare Blvd., Suite 209, Louisville, KY 40241 2006-06-07
1760420202 Andrea Byrd Doak Physician Assistant 1067 Peachtree St, Louisville, GA 30434 2006-06-04
1154388148 Marilyn Ann Gandolph Physician Assistant 325 W S Boulder Rd Ste 101, Louisville, CO 80027-1130 2006-04-26
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Competitor

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City LOUISVILLE
Zip Code 40203

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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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