Melissa Park, MD Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

015943 Issued in ME

Legal business name

MELISSA PARK, MD INTERNAL MEDICINE

Practice address

4 Glen Cove Dr
Suite 101
Rockport, ME 04856-4235

Phone

(207) 594-2609

Fax

(207) 594-4358

NPI assigned

Aug 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shelly Rae Gresham

Title

Office Manager

Phone

(207) 594-2609

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Lee Park, MD

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1386676039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114935855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 101",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-594-2609",
            "fax_number": "207-594-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 101",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-594-2609",
            "fax_number": "207-594-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA PARK, MD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-594-2609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "015943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney R. Mayhorn, MD
• Dennis Joseph McDowell
• Tonia McLaughlin
• Anna Parkhurst McLean, DO
• Dana Meixell, MD
• Phyllis Merriam, LCSW
• Robert N. Merrill, MD
• Jon Merritt
• Brenna Messier, PA-C
• Michael E. Marden, O.D.

• Specialist in Rockport, ME
• Providers in Rockport, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.