Active NPIIndividual provider

Peter R Mello, PA-C, MPAS

Physician Assistant, Surgical in Providence, Rhode Island

NPI Number1316210545
Practice location
118 Dudley St, Providence, RI 02905-2403
Fax
401-273-4155
Last updated
February 19, 2012

Peter Richard Mello is a Physician Assistant, Surgical based in Providence, RI. Peter Richard Mello practices in Providence, RI and has the professional credentials of PA-C, MPAS. The NPI Number for Peter Richard Mello is 1316210545 and holds a License No. PA00628 (RI). The current practice location address for Peter Richard Mello is 118 Dudley St, Providence, RI 02905-2403 and can be reached out via phone at 401-273-4155 and via fax at 401-273-4155.

Provider Profile Details

NPI Number
1316210545
Provider Name
Peter Richard Mello
Credential
PA-C, MPAS
Provider Entity Type
Individual
Gender
Male
Address
118 Dudley St, Providence, RI 02905-2403
Phone Number
401-273-4155
Fax Number
401-273-4155
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2012
Last Update Date
February 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Dudley St
Providence, RI 02905-2403
Zip
02905-2403
Phone Number
401-273-4155
Fax Number
401-273-4155
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
7 Woodland RD
Rochester, MA 02770-2224
City
Rochester
State
MA
Zip
02770-2224
Phone Number
508-954-4749

License Information

License Number (1)
PA00628
License State (1)
RI
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X · Primary
License Number (2)
PA4326
License State (2)
MA
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X

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 Peter R Mello, PA-C, MPAS?

The NPI number of Peter R Mello, PA-C, MPAS is 1316210545. It was assigned on February 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Peter R Mello, PA-C, MPAS?

Peter R Mello, PA-C, MPAS is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in RI under license number PA00628.

Where does Peter R Mello, PA-C, MPAS practice?

The practice location is 118 Dudley St, Providence, RI 02905-2403. The office can be reached at 401-273-4155 (phone) or 401-273-4155 (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 1316210545 directly on the NPPES registry website.

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