Active NPIOrganization

Melissa Park, MD Internal Medicine

Specialist in Rockport, Maine

NPI Number1114935855
Practice location
4 Glen Cove Dr, Suite 101, Rockport, ME 04856-4235
Fax
207-594-4358
Last updated
August 22, 2020

Melissa Park, MD Internal Medicine is a healthcare organization based in Rockport, ME. Melissa Park, MD Internal Medicine practices in Rockport, ME. The NPI Number for Melissa Park, MD Internal Medicine is 1114935855 and holds a License No. 015943 (ME). The current practice location address for Melissa Park, MD Internal Medicine is 4 Glen Cove Dr, Suite 101, Rockport, ME 04856-4235 and can be reached out via phone at 207-594-2609 and via fax at 207-594-4358.

Provider Profile Details

NPI Number
1114935855
Provider Name
Melissa Park, MD Internal Medicine
Provider Entity Type
Organization
Address
4 Glen Cove Dr, Suite 101, Rockport, ME 04856-4235
Phone Number
207-594-2609
Fax Number
207-594-4358
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Mrs. Shelly Rae Gresham · Office Manager · 207-594-2609
Provider Enumeration Date
August 4, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Glen Cove Dr
Suite 101
Rockport, ME 04856-4235
State
Maine
Zip
04856-4235
Phone Number
207-594-2609
Fax Number
207-594-4358
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
4 Glen Cove Dr
Suite 101
Rockport, ME 04856-4235
City
Rockport
State
ME
Zip
04856-4235
Phone Number
207-594-2609
Fax Number
207-594-4358

License Information

License Number
015943
License State
ME
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Melissa Park, MD Internal Medicine?

The NPI number of Melissa Park, MD Internal Medicine is 1114935855. It was assigned on August 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Melissa Park, MD Internal Medicine?

Melissa Park, MD Internal Medicine is registered under the primary taxonomy Specialist (code 174400000X), licensed in ME under license number 015943.

Where does Melissa Park, MD Internal Medicine practice?

The practice location is 4 Glen Cove Dr, Suite 101, Rockport, ME 04856-4235. The office can be reached at 207-594-2609 (phone) or 207-594-4358 (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 1114935855 directly on the NPPES registry website.

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