National Provider Identifier
Melissa Fanton, RPA-C
Melissa Fanton, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Springville, NY and a listed phone number of (716) 592-3600.
Profile Overview
- NPI
- 1902998974
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 28, 2006
- Last Updated
- August 27, 2009
Practice Location
- 210 E Main St
- Springville, NY 14141-1442
Phone: (716) 592-3600
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1902998974
- Entity Type
- Individual
- Last Name
- Fanton
- First Name
- Melissa
- Credential
- RPA-C
- Provider Other Last Name
- McIntosh
- Provider Other First Name
- Melissa
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 210 E Main St
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-1442
- Mailing Country
- US
- Mailing Phone
- (716) 592-3600
- Mailing Fax
- (716) 592-3613
- Practice Street Address
- 210 E Main St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1442
- Practice Country
- US
- Practice Phone
- (716) 592-3600
- Practice Fax
- (716) 592-3613
- Enumeration Date
- September 28, 2006
- Last Updated
- August 27, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 03031436 (NY), 000529192003 (NY, BCBS), 9514014 (NY, Iha), 1902998974 (NY, Univera), P00731283 (NY, Railroad Medicare)