Healthcare Provider Details

I. General information

NPI: 1881905362
Provider Name (Legal Business Name): MELISSA R. YELANICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 LINKS WAY
AURORA IN
47001-1403
US

IV. Provider business mailing address

P.O. BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 812-926-3133
  • Fax: 812-926-1668
Mailing address:
  • Phone: 859-344-5555
  • Fax: 859-344-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01090165A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: