Provider Demographics
NPI:1174978951
Name:MEYER, MELISSA ANN (DO)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ANN
Last Name:MEYER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 ADAMS DR STE C
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8625
Mailing Address - Country:US
Mailing Address - Phone:717-988-9002
Mailing Address - Fax:717-221-5375
Practice Address - Street 1:8105 ADAMS DR STE C
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8625
Practice Address - Country:US
Practice Address - Phone:717-988-9002
Practice Address - Fax:717-221-5375
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021024770207X00000X
PAOS022387207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery