Provider Demographics
NPI:1942340096
Name:MELHUISH & ASSOCIATES PC
Entity Type:Organization
Organization Name:MELHUISH & ASSOCIATES PC
Other - Org Name:SIERRA FOOT & ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:MELHUISH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:775-783-8037
Mailing Address - Street 1:2350 S CARSON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-4530
Mailing Address - Country:US
Mailing Address - Phone:775-783-8037
Mailing Address - Fax:775-782-8037
Practice Address - Street 1:2350 S CARSON ST STE 3
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4530
Practice Address - Country:US
Practice Address - Phone:775-783-8037
Practice Address - Fax:775-783-3787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9505213E00000X
213E00000X, 213ES0103X, 213ES0131X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV4821240002OtherMEDICARE NSC
CAZZZ23164ZMedicare PIN
NV4821240001Medicare NSC
NVU35988Medicare UPIN