Irina L Melnik, MD Professional Corporation

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

IRINA L MELNIK, MD PROFESSIONAL CORPORATION

Practice address

655 Redwood Hwy Frontage Rd Ste 203
Mill Valley, CA 94941-3025

Phone

(415) 388-3808

Fax

(415) 388-3089

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Irina L Melnik, MDNPI 1902859838

Title

Owner

Phone

(415) 491-1210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina L. Melnik, M.D.

  • Orthopaedic Surgery Physician
  • Larkspur, CA
  • NPI 1902859838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1902445620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EQUESTRIAN CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452600",
            "telephone_number": "415-491-1210",
            "fax_number": "415-491-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 203",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413025",
            "telephone_number": "415-388-3808",
            "fax_number": "415-388-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA L MELNIK, MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MELNIK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-491-1210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Sharon Iacovelli, PT
• Michael Joseph Iacovelli, PT
• Jean Ihle, OTR/L
• Interwoven Clinical Services
• Irene Teper MD Inc
• Amy Kathleen Iroz
• Julia Isen
• Karen Isenberg, CMT
• Christopher Ivanoff, DDS
• Mark Greg Iwanicki, ND

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.