1275712549 NPI number — MELODIE MORGAN-MINOTT,MD,INC

Table of content: CELIA STEBBINS HEMMERICH PA (NPI 1831522424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275712549 NPI number — MELODIE MORGAN-MINOTT,MD,INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MELODIE MORGAN-MINOTT,MD,INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275712549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 DEVON PL
Provider Second Line Business Mailing Address:
STE 203
Provider Business Mailing Address City Name:
KENT
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44240-6482
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-673-9111
Provider Business Mailing Address Fax Number:
330-673-9730

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 DEVON PL
Provider Second Line Business Practice Location Address:
STE 203
Provider Business Practice Location Address City Name:
KENT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44240-6482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-673-9111
Provider Business Practice Location Address Fax Number:
330-673-9730
Provider Enumeration Date:
11/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PROCNHOW
Authorized Official First Name:
SALLY
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
330-673-9111

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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