Provider Demographics
NPI:1275681009
Name:HIGHT, MELINDA J (PA-C)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:J
Last Name:HIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1049
Mailing Address - Country:US
Mailing Address - Phone:317-807-1262
Mailing Address - Fax:317-859-4269
Practice Address - Street 1:8240 NAAB RD STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1986
Practice Address - Country:US
Practice Address - Phone:317-876-2330
Practice Address - Fax:317-876-2320
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10000982A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01536047OtherMEDICARE RAIL ROAD
IN1487680518OtherGROUP NPI
SC0500PAMedicaid
IN000000596778OtherANTHEM PIN
SCAA16903640Medicare PIN
IN000000596778OtherANTHEM PIN
IN677730026Medicare PIN