Tiffany June Mellang (NPI# 1083196927, PAC ID# 2769735224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083196927 |
| PAC ID by PECOS | 2769735224 |
| Professional Enrollment ID | I20181030002699 |
| Full Name | Tiffany June Mellang |
| Organization Legal Name | MIDWEST RADIOLOGY PA |
| Address |
333 Smith Ave N Saint Paul MN 55102-2344 |
| Phone Number | 6512208256 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486568482 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240115 | MERCY HOSPITAL |
| 241306 | RENVILLE COUNTY HOSPITAL AND CLINICS |
| 241366 | MEEKER MEMORIAL HOSPITAL |
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8990 Springbrook Dr Nw, Suite 140, Coon Rapids, MN 55433-5880 | 7637921900 | SUBURBAN IMAGING LLC |
| 333 Smith Ave N, Saint Paul, MN 55102-2344 | 6512208256 | MIDWEST RADIOLOGY PA |
| Organization Legal Name | MIDWEST RADIOLOGY PA |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucas B Ludeman | Diagnostic Radiology | Midwest Radiology Pa | 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 |
| Cherie S Nienow | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Azhar T Ali | Diagnostic Radiology | Midwest Radiology Pa | 927 Churchhill St W, Stillwater, MN 55082-6605 |
| Jorge A Leon | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| John P Knoedler | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Kristin A Lieberman | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Andrew S Hartigan | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Keith H Wittenberg | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Leif E Jensen | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Amanda K Keogh | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Street Address |
333 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip | 55102-2344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet Leslie Grayson | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Jean J Jasienski | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Todd A Shea | Podiatry | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Neil P Phelan | Internal Medicine | Minnesota Gastroenterology Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Thomas P Laberge | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Mark T Destache | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Dylan A Bindman | General Practice | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Charles G Terzian | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Panduka Samarawardana | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Jane Elizabeth Monita | Nurse Practitioner | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Nathan M Frink | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Orren Wexler | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Mueni C Mualuko | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Joshua B Colton | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Genet N Ghebre | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Douglas B Nelson | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Patrick M Oreilly | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Find all physicians in zip 55102 | |||
| City | SAINT PAUL |
| Zip Code | 55102 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT PAUL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tiffany June Mellang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.