Active NPI
Gayle F Melnick, DO
- Pediatrics Physician
- Chillicothe, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34004014M
- Practice address
- 4461 State Route 159 Ste a
Chillicothe, OH 45601-6000 - Phone
- (740) 779-4900
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34004014M | OH | Primary |
Addresses
Primary practice location
4461 State Route 159 Ste a
Chillicothe, OH 45601-6000
Mailing address
4461 State Route 159 Ste a
Chillicothe, OH 45601-6000
Phone (740) 779-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0666211 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.residency@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|
| 34004014M | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Pediatrics | Current | Accepting new patients |
Locations
4461 State Route 159
Ste A
Chillicothe, OH 45601
Phone (740) 774-9923
600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1467484485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 STATE ROUTE 159 STE A",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456016000",
"telephone_number": "740-779-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 STATE ROUTE 159 STE A",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456016000",
"telephone_number": "740-779-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNICK",
"first_name": "GAYLE",
"middle_name": "F",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34004014M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0666211",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.residency@adena.medicity.net",
"affiliation": "N",
"address_1": "4461 State Route 159 Ste A",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456016000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.