Timothy J Mello, PA-C
Physician Assistant in Springfield, Vermont
1093726366- Practice location
- 29 Ridgewood RD, Springfield, VT 05156-3050
- Phone
- 802-885-6373
- Fax
- 802-885-6376
- Last updated
- February 28, 2008
Timothy J Mello is a Physician Assistant based in Springfield, VT. Timothy J Mello practices in Springfield, VT and has the professional credentials of PA-C. The NPI Number for Timothy J Mello is 1093726366 and holds a License No. 0550030562 (VT). The current practice location address for Timothy J Mello is 29 Ridgewood RD, Springfield, VT 05156-3050 and can be reached out via phone at 802-885-6373 and via fax at 802-885-6376.
Provider Profile Details
- NPI Number
- 1093726366
- Provider Name
- Timothy J Mello
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 29 Ridgewood RD, Springfield, VT 05156-3050
- Phone Number
- 802-885-6373
- Fax Number
- 802-885-6376
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 11, 2006
- Last Update Date
- February 28, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Ridgewood RD
Springfield, VT 05156-3050 - City
- Springfield
- State
- Vermont
- Zip
- 05156-3050
- Phone Number
- 802-885-6373
- Fax Number
- 802-885-6376
Provider Business Mailing Address Details
- Address
- 29 Ridgewood RD
Springfield, VT 05156-3050 - City
- Springfield
- State
- VT
- Zip
- 05156-3050
- Phone Number
- 802-885-6373
- Fax Number
- 802-885-6376
License Information
- License Number (1)
- 0550030562
- License State (1)
- VT
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 0416P
- License State (2)
- NH
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 0550030562
- License State (3)
- VT
- Taxonomy (3)
- Physician Assistant, Surgical · 363AS0400X
- License Number (4)
- 0416P
- License State (4)
- NH
- Taxonomy (4)
- Physician Assistant, Surgical · 363AS0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Timothy J Mello, PA-C?
The NPI number of Timothy J Mello, PA-C is 1093726366. It was assigned on August 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Timothy J Mello, PA-C?
Timothy J Mello, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 0550030562.
Where does Timothy J Mello, PA-C practice?
The practice location is 29 Ridgewood RD, Springfield, VT 05156-3050. The office can be reached at 802-885-6373 (phone) or 802-885-6376 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093726366 directly on the NPPES registry website.