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MELANIE K PRUSAKOWSKI M.D. NPI 1689699712


NPI Information

NPI: 1689699712
Provider Name: MELANIE K PRUSAKOWSKI, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Organization: CARILION MEDICAL CENTER

PECOS Registration: Yes

Address:
1906 BELLEVIEW AVE SE
CARILION ROANOKE MEMORIAL HOSPITAL PEDS ED
ROANOKE, VA
ZIP 24014
Phone: (540) 981-8919
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Melanie K Prusakowski, M.D. is a pediatric emergency medicine pediatrics in Roanoke, VA with 17 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Melanie K Prusakowski, M.D. NPI is 1689699712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2007

The provider's business location address is:

1906 BELLEVIEW AVE SE
CARILION ROANOKE MEMORIAL HOSPITAL PEDS ED
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-8919

The NPI 1689699712 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 7/12/2006 and was last updated on 7/19/2016.


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
1208000000XPediatrics0101243116VIRGINIANo
22080P0204XPediatricsPediatric Emergency Medicine0101243116VIRGINIAYes

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.