Individual
MELITTA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2330 E HIGH ST UNIT B, SPRINGFIELD, OH 45505-1371
(614) 866-3182
(614) 866-5627
Mailing address
1400 S MAIN ST, BELLEFONTAINE, OH 43311-1581
(937) 599-3668
(937) 599-4852
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2406668
—
OH
01
—
H156271
MEDICARE
OH
Enumeration date
05/24/2005
Last updated
03/19/2025
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