Provider Demographics
NPI:1922094721
Name:PARSONS, MELISSA M (MD)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:M
Last Name:PARSONS
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 1:5695 INNOVATION DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016
Mailing Address - Country:US
Mailing Address - Phone:614-932-5050
Mailing Address - Fax:614-932-9372
Practice Address - Street 1:5695 INNOVATION DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:614-932-5050
Practice Address - Fax:614-932-9372
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350793352080P0204X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV30050222000OtherMEDICAID
KY64057938OtherMEDICAID
OH2294851Medicaid
KY64057938OtherMEDICAID
H58799Medicare UPIN