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MELODY CALLA PA-C NPI 1659488054


NPI Information

NPI: 1659488054
Provider Name: MELODY CALLA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: NORTH SHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES

PECOS Registration: Yes

Address:
2650 RIDGE AVE
DEPARTMENT OF NEUROLOGY
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2570
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Melody Calla, PA-C is a medical physician assistant in Evanston, IL with 18 years of experience. Melody Calla, PA-C NPI is 1659488054. 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:

2650 RIDGE AVE
DEPARTMENT OF NEUROLOGY
EVANSTON, IL
ZIP 60201-718
Phone: (847) 570-2570
Fax: (847) 570-2073

The NPI 1659488054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 6/4/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical085-002754ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K30019MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2Q71259MEDICARE UPINILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.