Active NPI
Melissa K Keyser, PA-C
- Medical Physician Assistant
- Wintersville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053803
- Practice address
- 148 Main St
Wintersville, OH 43953-3734 - Phone
- (740) 346-2702
- Fax
- (740) 346-2645
- NPI assigned
- Jun 27, 2007
- Last updated
- Dec 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50.002383RX | OH | |
| Medical Physician Assistant | 363AM0700X | MA053803 | PA | Primary |
Addresses
Primary practice location
148 Main St
Wintersville, OH 43953-3734
Mailing address
124 Home Depot Dr Ste D
Franklin, PA 16323-8002
Phone (814) 677-2262
Other practice location 1
124 Home Depot Dr Ste D
Franklin, PA 16323-8002
Phone (814) 677-2262
Other practice location 2
15655 State Route 170 Ste B
East Liverpool, OH 43920-9672
Phone (330) 932-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102803 | Medicaid | OH |
Other names 1
- Melissa K Radaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002383RX | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| Hope Pediatrics PC | Past | Accepting new patients | |
| Upmc Community Medicine Inc | Past | Accepting new patients | |
| Children's Community Care | Past | Accepting new patients | |
| Upmc St. Margaret | Past | Accepting new patients |
Locations
1800 Franklin St
Toronto, OH 43964
Phone (740) 537-1544
875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
3512 State Route 257
Ste 108
Seneca, PA 16346
Phone (814) 677-2262
Interoperability endpoints
- melissa.k.keyser@upmcdirect.com
- mfinsley137040@upmc.direct-ci.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
dba Hermitage Family Practice - UPMC
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Franklin, PA
- NPI 1013140458
-
- Pediatrics Physician
- Wexford, PA
- NPI 1659339547
-
- Pediatrics Physician
- Seneca, PA
- NPI 1114294006
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1588622294
-
- Ambulatory Surgical Clinic/Center
- Pittsburgh, PA
- NPI 1750445607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1699972356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HOME DEPOT DR STE D",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163238002",
"telephone_number": "814-677-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 MAIN ST",
"city": "WINTERSVILLE",
"state": "OH",
"postal_code": "439533734",
"telephone_number": "740-346-2702",
"fax_number": "740-346-2645"
}
],
"practiceLocations": [
{
"address_1": "124 Home Depot Dr Ste D",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "PA",
"postal_code": "163238002",
"country_code": "US",
"telephone_number": "814-677-2262",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15655 State Route 170 Ste B",
"address_purpose": "LOCATION",
"city": "East Liverpool",
"state": "OH",
"postal_code": "439209672",
"country_code": "US",
"telephone_number": "330-932-0909",
"fax_number": "330-932-0769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYSER",
"first_name": "MELISSA",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.002383RX",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102803",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "RADAKER",
"middle_name": "K",
"credential": "MPAS, PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wintersville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.