Richard J Mellitt (NPI# 1730171026, PAC ID# 4385785542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1730171026 |
| PAC ID by PECOS | 4385785542 |
| Professional Enrollment ID | I20100109000281 |
| Full Name | Richard J Mellitt |
| Organization Legal Name | CHAS PHYSICIAN SERVICES LLC |
| Address |
1605 E Broadway Suite 300 Columbia MO 65201-8023 |
| Phone Number | 5732567700 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 7810038064 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| 260009 | BOTHWELL REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 | 5732567700 | CHAS PHYSICIAN SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 87% | |
| MIPS_EC_047_overall | Care Plan | 98% |
| Organization Legal Name | CHAS PHYSICIAN SERVICES LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Byrd | Nurse Practitioner | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| William L Woods | Cardiovascular Disease (cardiology) | Chas Physician Services LLC | 404 Providence Rd, Macon, MO 63552-4222 |
| James T Elliott | Cardiovascular Disease (cardiology) | Chas Physician Services LLC | 404 Providence Rd, Macon, MO 63552-4222 |
| Dan L Pierce | Cardiac Electrophysiology | Chas Physician Services LLC | 404 Providence Rd, Macon, MO 63552-4222 |
| Joss Fernandez | Cardiac Surgery | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| James E Fairlamb | Cardiovascular Disease (cardiology) | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Patricia A Kean | Nurse Practitioner | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Melissa K Fischer | Nurse Practitioner | Chas Physician Services LLC | 404 Providence Rd, Macon, MO 63552-4222 |
| Mozow Y Zuidema | Cardiovascular Disease (cardiology) | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Trung H Tran | Interventional Cardiology | Chas Physician Services LLC | 404 Providence Rd, Macon, MO 63552-4222 |
| Street Address |
1605 E BROADWAY SUITE 300 |
| City | COLUMBIA |
| State | MO |
| Zip | 65201-8023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Byrd | Nurse Practitioner | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Joss Fernandez | Cardiac Surgery | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Sarah Rene Mcbee | Nurse Practitioner | Physician Groups Lc | 1605 E Broadway, 110 Boone Medical Group Central 1, Columbia, MO 65201-8023 |
| Redonda A Marshall | Nurse Practitioner | Physician Groups Lc | 1605 E Broadway, 110 Boone Medical Group Central 1, Columbia, MO 65201-8023 |
| Sara E Crowder | Gynecological Oncology | 1605 E Broadway, Suite 260 Plaza 2, Columbia, MO 65201-8044 | |
| James E Fairlamb | Cardiovascular Disease (cardiology) | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Patricia A Kean | Nurse Practitioner | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Eunice Ann H Wong | Infectious Disease | Physician Groups Lc | 1605 E Broadway, 110 Boone Medical Group Central 1, Columbia, MO 65201-8023 |
| Michael Daly | Family Medicine | Physician Groups Lc | 1605 E Broadway, 110 Boone Medical Group Central 1, Columbia, MO 65201-8023 |
| Mozow Y Zuidema | Cardiovascular Disease (cardiology) | Chas Physician Services LLC | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald H Heisler | Clinical Psychologist | 1316 S Old Hwy 63, Columbia, MO 65201 | |
| Amanda J Fischer | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erica H Salinas | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jennifer Lynn Sanford | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jane A Vaughan | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Ashley Marie Hardesty | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| John G Adams Jr. | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Kimberly C Suppes | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erik M Grossmann | Colorectal Surgery (proctology) | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jeffrey Roland Nolting | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 3105 Bluff Creek Dr, Columbia, MO 65201-3529 |
| Find all physicians in zip 65201 | |||
| City | COLUMBIA |
| Zip Code | 65201 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | COLUMBIA + CARDIAC SURGERY |
Please comment or provide details below to improve the information on Richard J Mellitt.
| 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.