Provider Demographics
NPI:1003025511
Name:COLLIER, MELISSA G (MD, MPH, FAAP)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:G
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MD, MPH, FAAP
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:R
Other - Last Name:GERHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:8921 SOUTHPOINTE DR STE A1
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-1085
Mailing Address - Country:US
Mailing Address - Phone:317-884-7820
Mailing Address - Fax:
Practice Address - Street 1:65 AIRPORT PKWY
Practice Address - Street 2:STE 114
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1439
Practice Address - Country:US
Practice Address - Phone:317-807-0268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-050665208000000X, 207R00000X
IN01069808A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics