Active NPI
David Craig Mellinger, MD
- Pediatrics Physician
- University Park, PA
National Provider Identifier
1932253366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD067155L
- Practice address
- 308 Student Health Ctr
University Park, PA 16802-2129 - Phone
- (814) 865-4847
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD067155L | PA | Primary |
Addresses
Primary practice location
308 Student Health Ctr
University Park, PA 16802-2129
Mailing address
308 Student Health Ctr
University Park, PA 16802-2129
Phone (814) 865-4847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD067155L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Duke Student Health Center
- Student Health Clinic/Center
- Durham, NC
- NPI 1033495106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1932253366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 STUDENT HEALTH CTR",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "168022129",
"telephone_number": "814-865-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 STUDENT HEALTH CTR",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "168022129",
"telephone_number": "814-865-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLINGER",
"first_name": "DAVID",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2024-03-13",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD067155L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.