Provider Demographics
NPI:1356446983
Name:MYERS, MELISSA ASHBACHER (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ASHBACHER
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:ASHBACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-358-7550
Mailing Address - Fax:515-358-7551
Practice Address - Street 1:120 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-8411
Practice Address - Country:US
Practice Address - Phone:515-358-7550
Practice Address - Fax:515-358-7551
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-45499208000000X, 207R00000X
MO2008004922207R00000X
FLME 102109207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics