Provider Demographics
NPI:1881646115
Name:STRAUSS, MELISSA RYAN (PA)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:RYAN
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1740 HOBART ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2908
Mailing Address - Country:US
Mailing Address - Phone:202-557-1187
Mailing Address - Fax:301-929-7022
Practice Address - Street 1:2101 E JEFFERSON ST
Practice Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4908
Practice Address - Country:US
Practice Address - Phone:301-816-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA030398363A00000X
MDC0003186363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant