Individual
DR. MARK EDWARD MCMELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009012459
MO
2086S0102X
Surgical Critical Care Physician
2009012459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053597955
—
MO
Enumeration date
01/10/2008
Last updated
11/30/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up