Healthcare Provider Details

I. General information

NPI: 1235390972
Provider Name (Legal Business Name): MELISSA SCHWEIKHART BAUSERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA ELIZABETH SCHWEIKHART M.D.

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 05/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR UNCH NEONATAL-PERINATAL MEDICINE, PEDIATRICS CB 7596
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

101 MANNING DR UNCH NEONATAL-PERINATAL MEDICINE, PEDIATRICS CB 7596
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-9152
  • Fax: 919-966-3034
Mailing address:
  • Phone: 919-966-9152
  • Fax: 919-966-3034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA98382
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: