Provider Demographics
NPI:1649489303
Name:STEELMON, MELINDA LEANN (DO)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:LEANN
Last Name:STEELMON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E BLUE STARR DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017
Mailing Address - Country:US
Mailing Address - Phone:918-341-8700
Mailing Address - Fax:918-341-8753
Practice Address - Street 1:601 E BLUE STARR DRIVE
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017
Practice Address - Country:US
Practice Address - Phone:918-341-8700
Practice Address - Fax:918-341-8753
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3790207VH0002X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200012620AMedicaid
OK200012620AMedicaid
OK231328305Medicare PIN