Melissa M Nelson, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Practice address

6701 159TH St
Tinley Park, IL 60477-1758

Phone

(708) 429-3300

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Sullivan Urgent Aid Centers, LTD

  • Emergency Medicine Physician
  • Tinley Park, IL
  • NPI 1235175803
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417068404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87844",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601887844",
            "telephone_number": "630-875-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771758",
            "telephone_number": "708-429-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Herman Neidhart, D.D.S.
• Julie Neill
• Elizabeth Nejdl, BCBA
• Holly Theresa Nelson, LPC
• Ikeoluwapo Stella Nelson, FNP
• Talia Nelson, MSN, FNP, PMHNP
• Neogenomics Laboratories Inc
• Neonest Family Health LLC
• Rubi Neri
• Nett Hands Home Care, Inc.

• Emergency Medicine Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.