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GARY A. MELLICK D.O. NPI 1780641506


NPI Information

NPI: 1780641506
Provider Name: GARY A. MELLICK, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: PROFESSIONAL RESOURCE MANAGMENT OF WIREGRASS, LLC

PECOS Registration: Yes

Address:
2525 W UNIVERSITY AVE STE 502
MUNCIE, IN
ZIP 47303
Phone: (765) 751-2600
Get Directions

Gary A. Mellick, D.O. is a neurology psychiatry neurology in Muncie, IN with 43 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Gary A. Mellick, D.O. NPI is 1780641506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1981

The provider's business location address is:

2525 W UNIVERSITY AVE STE 502
MUNCIE, IN
ZIP 47303-409
Phone: (765) 751-2600

The NPI 1780641506 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)
  • Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • Injections of substances into lower or sacral spine (HCPCS:62311)

The enumeration date for this NPI number is 4/26/2006 and was last updated on 1/14/2022.


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
12084S0012XPsychiatry & NeurologySleep MedicineDO1117ALABAMANo
22084N0400XPsychiatry & NeurologyNeurology02006613AINDIANAYes
3174400000XSpecialist055142GEORGIANo
42084N0400XPsychiatry & NeurologyNeurologyDO1117ALABAMANo
52084N0600XPsychiatry & NeurologyClinical NeurophysiologyDO1117ALABAMANo
6174400000XSpecialist34004503OHIONo
72084P2900XPsychiatry & NeurologyPain MedicineDO1117ALABAMANo

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
1078521MEDICAIDOHIO

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.