Healthcare Provider Details

I. General information

NPI: 1831194406
Provider Name (Legal Business Name): MELISSA A REISINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4199 GATEWAY BLVD SUITE 2500
NEWBURGH IN
47630-8940
US

IV. Provider business mailing address

4199 GATEWAY BLVD SUITE 2500
NEWBURGH IN
47630-8940
US

V. Phone/Fax

Practice location:
  • Phone: 812-471-0045
  • Fax: 812-471-0120
Mailing address:
  • Phone: 812-471-0045
  • Fax: 812-476-2383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01041708A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: