Melissa A Whitson, D.O.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2008015366 Issued in MO

Practice address

16 Hampton Village PLZ 220
Saint Louis, MO 63109-2128

Phone

(314) 351-2004

Fax

(314) 351-0347

NPI assigned

May 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Interoperability endpoints

• Direct secure messaging: mwhitson@299.securemail.prognocis.com

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.

• Morgan-Haugh Professional Services Corporation

  • Multi-Specialty Clinic/Center
  • Mayfield, KY
  • NPI 1659454924

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609879337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-351-2004",
            "fax_number": "314-351-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-351-2004",
            "fax_number": "314-351-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2008015366",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "2008015366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2008015366",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1578711420",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609879337",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Charles Whitney
• Madison Whitney, MHS, CCC-SLP
• Ashley Richardson Whitson, MD
• Charles Whitson, DNP
• Lisa M Whitson, PHARMD
• William Kyle Whitson, D.M.D.
• Darrell Whitt
• Angela Whittaker, PHARM D
• Marcel L Whittaker
• Tricia M Whittaker, PHARM.D.

• Primary Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.