Melissa Roewe, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2015029679 Issued in MO

Practice address

9979 Winghaven Blvd Ste 206
O Fallon, MO 63368

Phone

(636) 561-5291

Fax

(636) 561-5290

NPI assigned

Jul 2, 2009

Last updated

Mar 31, 2020By the provider in NPPES

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mroewe713146@directc.mercy.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Multispecialty Group Inc.

  dba Esse Health

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1972559532

  Pediatrics

  NPD (past)
• M. Edward Mimlitz PC

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
  • NPI 1952715005
  NPD (past)
• Mercy Clinic Child and Adolescent Psychiatry, LLC

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1265562300
  NPD (past)
• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1578792297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-851-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD STE 206",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-561-5291",
            "fax_number": "636-561-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEWE",
        "first_name": "MELISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2015029679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa A Roche, MSW,LCSW
• Darren McKay Rodabough, DDS, MS
• Meagan Rodenberg, OTR/L
• Shannon Raye Roderique, LPTA
• Emma Taylor Rodgers
• Caitlin Sue Rogers, DO
• Sara Amanda Rogers, PHD., BCBA
• Sophia Loren Rogers, DPT, PT
• Rachel Romano, PHARM. D.
• Rebecca Somers Rood, SLP

• Pediatrics Physician in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.