Active NPI
Erica Lynn Melrose, D.O.
- Obstetrics Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 2012014711
- Practice address
- 1965 S Fremont Ave Ste 270
Springfield, MO 65804-2257 - Phone
- (417) 820-3559
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Obstetrics Physician | 207VX0000X | 2012014711 | MO | Primary |
Addresses
Primary practice location
1965 S Fremont Ave Ste 270
Springfield, MO 65804-2257
Mailing address
1965 S Fremont Ave Ste 270
Springfield, MO 65804-2257
Phone (417) 820-3559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012014711 | MO | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carestl Health | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Carestl Health | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Carestl Health | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| SSM St. Charles Clinic Medical Group, Inc. | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
300 Medical Plz
Ste 31
Lake St Louis, MO 63367
Phone (636) 625-2662
9303 Midland Blvd
Overland, MO 63114
Phone 31436758206119
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221
7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070
10135 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 521-1444
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
1965 S Fremont Ave
Ste 270
Springfield, MO 65804
Phone (417) 820-3559
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- emelrose63100@direct-ehr-ssmhc.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1376685529
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Federally Qualified Health Center (FQHC)
- Overland, MO
- NPI 1275363137
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1972596088
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- Family Medicine Physician
- Saint Charles, MO
- NPI 1811932973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1275774887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 S FREMONT AVE STE 270",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042257",
"telephone_number": "417-820-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 S FREMONT AVE STE 270",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042257",
"telephone_number": "417-820-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELROSE",
"first_name": "ERICA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MO",
"license": "2012014711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.