Melodie Blacklidge, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35055506 Issued in OH

Practice address

3050 Mack Rd
Fairfield, OH 45014-5379

Phone

(513) 636-8259

Fax

(513) 636-6419

NPI assigned

May 26, 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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Children'S Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784
  Medicare reassignment NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1689620841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145379",
            "telephone_number": "513-636-8259",
            "fax_number": "513-636-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145379",
            "telephone_number": "513-636-8259",
            "fax_number": "513-636-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKLIDGE",
        "first_name": "MELODIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35055506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0699552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyra Billups, STNA
• Joseph Biondo, DPT, PT
• Caleb Ray Birchler, D.O.
• Bireshpati LLC
• Paul Lawrence Bissmeyer Jr., DO
• Ashley Blair
• Lashawnda Blakey
• Robert Scott Blankenburg, MD
• Brittany Blankenship Reineck, PHARMD
• Connie Bloodworth, PT

• Pediatrics Physician in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.