MELISSA MARIE THEIGE PA-C NPI 1174038764

NPI Information

  • NPI: 1174038764
  • Provider Name: MELISSA MARIE THEIGE, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 UNIVERSITY DR S
    FARGO, ND
    ZIP 58103
  • Phone: (701) 234-2000

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NPI Details

Melissa Marie Theige, PA-C is a physician assistant in Fargo, ND with 1 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Melissa Marie Theige, PA-C NPI is 1174038764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2024

The provider's business location address is:

2801 UNIVERSITY DR S
FARGO, ND
ZIP 58103-029
Phone: (701) 234-2000

The NPI 1174038764 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 12/5/2017 and was last updated on 1/9/2025.

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
12255A2300XSpecialist/TechnologistAthletic Trainer3063MASSACHUSETTSNo
2363A00000XPhysician AssistantNo
3363A00000XPhysician AssistantPAC1093NORTH DAKOTANo
4363A00000XPhysician Assistant15016MINNESOTAYes

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: 3/30/2025

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