Provider Demographics
NPI:1730134925
Name:BAIRD, MELISSA F (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:F
Last Name:BAIRD
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 1:901 LEIGHTON AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5765
Mailing Address - Country:US
Mailing Address - Phone:256-238-1011
Mailing Address - Fax:
Practice Address - Street 1:901 LEIGHTON AVE STE 602
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5765
Practice Address - Country:US
Practice Address - Phone:256-238-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20884207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL115867Medicaid
AL000097865Medicaid
AL000097865OtherBLUE CROSS
ALG13791OtherVIVA
AL000097864OtherBLUE CROSS
AL000097864Medicaid
AL009935356Medicaid
AL009913895Medicaid
AL009913895Medicaid
AL000097865Medicaid
AL009935356Medicaid