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1508920026 NPI number — MELISSA D KOLIHA PA

NPI Number: 1508920026
Health Care Provider/Practitioner: MELISSA D KOLIHA PA

Information about “1508920026” NPI (MELISSA D KOLIHA PA) exists in 1508920026 in HTML format HTML  |  1508920026 in plain Text format TXT  |  1508920026 in PDF (Portable Document Format) PDF  |  1508920026 in an XML format XML  formats.

NPI Number : 1508920026 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508920026",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOLIHA",
    "FirstName": "MELISSA",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BURKE",
    "OtherFirstName": "MELISSA",
    "OtherMiddleName": "D",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1345 W BAY DR STE 301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LARGO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33770-2264",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-587-7111",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10590 N MERIDIAN ST # 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARMEL",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46290-1028",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-583-7800",
    "PracticeLocationAddressFaxNumber": "317-583-7818",
    "EnumerationDate": "12/20/2006",
    "LastUpdateDate": "05/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": "10004766A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": "PA 9103235",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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