Melissa D Willenborg, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

292281 Issued in NY

Practice address

300 Hoffman St
Elmira, NY 14905-2263

Phone

(319) 356-2383

Fax

(319) 356-6754

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1598987083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD",
            "address_2": "FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOFFMAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052263",
            "telephone_number": "319-356-2383",
            "fax_number": "319-356-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149013218",
            "country_code": "US",
            "telephone_number": "607-734-4110",
            "fax_number": "607-733-3357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 John Roemmelt Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Horseheads",
            "state": "NY",
            "postal_code": "148458302",
            "country_code": "US",
            "telephone_number": "607-795-1666",
            "fax_number": "607-796-0839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLENBORG",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IA",
            "license": "40542",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "292281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05029332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Wicelinski Jr., D.O.
• Melissa P. Wichtowski, PT
• Olivia Marie Wicks
• Benjamin Wilcox, BSN, RN, CNOR, RNFA
• Douglas Frank Willard, MD
• William E. Clack M.D.
• Beth Ann Williams
• Dana Williams
• Edward D Williams, M.D.
• Keith C Williams, PMHNP

• Orthopaedic Surgery Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.