Michael G Melendez (NPI# 1013080787, PAC ID# 3274557921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013080787 |
| PAC ID by PECOS | 3274557921 |
| Professional Enrollment ID | I20060120000165 |
| Full Name | Michael G Melendez |
| Organization Legal Name | BENEWAH COMMUNITY HOSPITAL |
| Address |
229 S 7th St St Maries ID 83861-1803 |
| Phone Number | 2082455551 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850200700 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131317 | BENEWAH COMMUNITY HOSPITAL |
| 130049 | KOOTENAI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2082673141 | BOUNDARY COMMUNITY HOSPITAL |
| 229 S 7th St, St Maries, ID 83861-1803 | 2082455551 | BENEWAH COMMUNITY HOSPITAL |
| Organization Legal Name | BENEWAH COMMUNITY HOSPITAL |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie N Baker | Nurse Practitioner | Benewah Community Hospital | 229 S 8th St, St Maries, ID 83861-1813 |
| John M Mcnulty | Orthopedic Surgery | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Frederick P Ragan | General Practice | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Craig A Burns | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| William Scott Spence | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Jordan R Day | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Tim J Ochoa | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Ettner | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Terry E Davenport | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Taylor F Reichel | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Street Address |
229 S 7TH ST |
| City | ST MARIES |
| State | ID |
| Zip | 83861-1803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Mcnulty | Orthopedic Surgery | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Leslie C Rogers | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Frederick P Ragan | General Practice | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Craig A Burns | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| William Scott Spence | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Magdalena Sneddon | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Jordan R Day | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Tim J Ochoa | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Ettner | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Terry E Davenport | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor F Reichel | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Larsen | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| David E Moody | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Edward G Moellmer | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Richard K Thurston | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Rebecca L Jackson | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Jenny F Hicks | Physical Therapy | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| John R Katovich | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Stephanie N Baker | Nurse Practitioner | Benewah Community Hospital | 229 S 8th St, St Maries, ID 83861-1813 |
| Gary R Little | Clinical Social Worker | Pathways of Idaho, LLC | 622 W College Ave, St Maries, ID 83861-1822 |
| Find all physicians in zip 83861 | |||
| City | ST MARIES |
| Zip Code | 83861 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ST MARIES + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael G Melendez.
| 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.