Melicien Tettambel, D.O., S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R9714 Issued in MO

Legal business name

MELICIEN TETTAMBEL, D.O., S.C.

Practice address

1108 E Patterson St
Suite 3
Kirksville, MO 63501-4002

Phone

(660) 627-5175

Fax

(660) 627-5180

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melicien Tettambel, D.O.

Title

Physician

Phone

(660) 627-5175

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912028861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E PATTERSON ST",
            "address_2": "SUITE 3",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014002",
            "telephone_number": "660-627-5175",
            "fax_number": "660-627-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E PATTERSON ST",
            "address_2": "SUITE 3",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014002",
            "telephone_number": "660-627-5175",
            "fax_number": "660-627-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELICIEN TETTAMBEL, D.O., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TETTAMBEL",
        "authorized_official_first_name": "MELICIEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "660-627-5175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "R9714",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R9714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis William McKiver, O.D.
• David Paul McLain, MOTR/L
• Lorrie L Mears, LPN
• Tristan Mehrer, DO
• Nevaeh Mejia
• Menm, LLC (Miracle-Ear)
• Robert John Mense III, DMD STUDENT
• Leithym B Messer
• Jacob Meyer
• Mid-America Orthopedic Institute

• Obstetrics & Gynecology Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.