Mark D Mellinger
Medical Specialty
Professional ID
- NPI: 1922070366
- PECOS ID: 3779577614
- Enrollment ID: I20040413000815
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 030023
- Business Name (LBN)1: Flagstaff Medical Center
- Hospital CCN2: 030007
- Business Name (LBN)2: Verde Valley Medical Center
- Hospital CCN3: 031315
- Business Name (LBN)3: White Mountain Regional Medical Center
- Hospital CCN4: 030012
- Business Name (LBN)4: Yavapai Regional Medical Center
Medical Practices
- Organization Name: Flagstaff Medical Center
- Group Practice ID assigned by PECOS: 2769392554
- Number of Group Practice member: 13
Location
- Address1: 1200 N Beaver St
- Address2:
- City: Flagstaff
- State: Arizona
- Zip Code: 86001
- Phone Number:
Medical Practices
- Organization Name: Northern Arizona Healthcare Provider Group Llc
- Group Practice ID assigned by PECOS: 6901055417
- Number of Group Practice member: 193
Medical Practices
- Organization Name: Northern Arizona Orthopaedics, Ltd.
- Group Practice ID assigned by PECOS: 8325941727
- Number of Group Practice member: 37
Location
- Address1: 1485 N Turquoise Dr
- Address2: Suite 200
- City: Flagstaff
- State: Arizona
- Zip Code: 86001
- Phone Number: (928)774-7757
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):