Provider Demographics
NPI:1609882497
Name:SEME, MELISSA DIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:DIAN
Last Name:SEME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4316
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:313 W. MAIN STREET
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72126
Practice Address - Country:US
Practice Address - Phone:501-889-5543
Practice Address - Fax:501-889-5546
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4043207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR7444597OtherAETNA
AR04060012400OtherQUALCHOICE
AR673085OtherHEALTHLINK
AR154236001Medicaid
ARP00139706Medicare PIN
AR7444597OtherAETNA
ARI05965Medicare UPIN