MELISSA ANN MCGOVERN (NPI# 1972081966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972081966 |
| Entity Type | Individual |
| Full Name | MELISSA ANN MCGOVERN |
| Credential | PA |
| Practice Address |
200 High Service Ave North Providence RI 02904-5113 |
| Mailing Address |
15 Parkside Pl Apt 220 Revere MA 02151-1151 |
| Practice Telephone | 4014563000 |
| Mailing Telephone | 4017149756 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA6657 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944294 | Melissa Mcgovern | Nurse Practitioner | 304 Sanders Ct, Yorkville, IL 60560-1300 | 2020-08-28 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1053760652 | Melissa Mcgovern | Case Manager/Care Coordinator | 659 Ibis Ln, Reno, NV 89503-3925 | 2016-06-06 |
| Street Address |
200 HIGH SERVICE AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179607 | James D Sullivan | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2005-10-24 |
| 1023628385 | Jona Volcy | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-08-03 |
| 1437770625 | Shana Rose Libassi | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-04-29 |
| 1447886171 | Kaylee Joy Taillon | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-03-13 |
| 1528619772 | Christine Mary Merloni | Technician/Technologist | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-09-27 |
| 1740748235 | Daniel Michael Leary | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-03-04 |
| 1366913873 | Ainsley King Parker | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-12-10 |
| 1093285751 | Jennifer Lynn Deblois | Dietitian, Registered | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-11-26 |
| 1285147702 | Jean Yeomans | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2017-11-06 |
| 1306368881 | Kendra Cabral | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736970 | Alyssa Natale Friedman | Physician Assistant | 115 Jacksonia Dr, North Providence, RI 02911-1224 | 2020-06-26 |
| 1508481755 | Kelly Maloney | Physician Assistant | 520 Smithfield Rd Apt 203, North Providence, RI 02904-8931 | 2020-06-13 |
| 1437770625 | Shana Rose Libassi | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-04-29 |
| 1447886171 | Kaylee Joy Taillon | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-03-13 |
| 1740748235 | Daniel Michael Leary | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-03-04 |
| 1861997876 | Giovanna Olivia Cafaro | Physician Assistant | 21 Patricia Dr, North Providence, RI 02904-4048 | 2018-03-30 |
| 1063895456 | Damon Curtis | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2015-07-02 |
| 1770998692 | Ashley Neto | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2014-06-30 |
| 1447681283 | Julie Shovlin | Physician Assistant | 200 High Service Ave, Emergency Department, North Providence, RI 02904-5113 | 2013-12-04 |
| 1982960696 | James Cerullo | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2012-04-06 |
| Find all providers in NORTH PROVIDENCE | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on MELISSA ANN MCGOVERN.
| 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.