DR. MELISA MOORE AGNESS MD NPI 1184763575

NPI Information

NPI: 1184763575
Provider Name: DR. MELISA MOORE AGNESS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
140 LITTON DR STE 208
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-2720
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DR. Melisa Moore Agness, MD is a diagnostic radiology radiology in Grass Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Melisa Moore Agness, MD NPI is 1184763575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 LITTON DR STE 208
GRASS VALLEY, CA
ZIP 95945-079
Phone: (530) 273-2720
Fax: (530) 273-2770

The NPI 1184763575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 4/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	A45512	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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