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MELICIEN TETTAMBEL, D.O., S.C.
NPI 1912028861
Obstetrics & Gynecology in Kirksville, MO

Active since April 02, 2007
1108 E PATTERSON ST, SUITE 3, KIRKSVILLE, MO 63501(660) 627-5175(660) 627-5180 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Melicien Tettambel, D.o., S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELICIEN TETTAMBEL, D.O., S.C. (NPI 1912028861) is a healthcare organization registered as an obstetrics & gynecology in Kirksville, Missouri and active in the NPI registry since April 2007. The organization lists Melicien Tettambel, Physician, as its authorized official.

NPPES Registry Identity

NPI1912028861
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMELICIEN TETTAMBEL, D.O., S.C.
Location Address1108 E PATTERSON ST, SUITE 3Kirksville, MO 63501-4002
Mailing Address1108 E Patterson St, Suite 3Kirksville, MO 63501-4002 · (660) 627-5175 · Fax (660) 627-5180
Phone(660) 627-5175
Fax(660) 627-5180
Organization SubpartNo
Authorized OfficialMelicien TettambelPhysician · (660) 627-5175
Enumeration DateApril 2, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1912028861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · R9714
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License R9714 (MO)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES D. SMITH, P.C.
Family Medicine
1108 E PATTERSON ST, SUITE 10
KIRKSVILLE, MO 63501
Adair County (660) 665-4265
TED DEININGER C.O. BOCO
Orthotist
1108 E PATTERSON ST
KIRKSVILLE, MO 63501
Adair County (319) 389-0508
N E MISSOURI ORTHOPEDIC ASSOCIATES
Orthopaedic Surgery
1108 E PATTERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 627-1229
AMY M. FLESHMAN P.T.
Physical Therapist
1108 E PATTERSON ST, SUITE 6
KIRKSVILLE, MO 63501
Adair County (660) 665-5333
DR. DAVID ERNEST BUTTERS MD, FRCS(C)
Urology
1108 E PATTERSON ST, SUITE 9
KIRKSVILLE, MO 63501
Adair County (660) 627-5228
DR. EDWARD GLENN BROWNING D.O.
Orthopaedic Surgery
1108 E PATTERSON ST, SUITE 5
KIRKSVILLE, MO 63501
Adair County (660) 627-1229
ADVANCE PHYCIAL THERAPY & SPORTS MED
Physical Therapist
1108 E PATTERSON ST, SUITE 6
KIRKSVILLE, MO 63501
Adair County (660) 665-5333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melicien Tettambel, D.O., S.C.'s NPI number?

The NPI number for Melicien Tettambel, D.O., S.C. is 1912028861. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Melicien Tettambel, D.O., S.C. located?

Melicien Tettambel, D.O., S.C. is located at 1108 E Patterson St Suite 3, Kirksville, MO 63501. The listed phone number is (660) 627-5175.

What is Melicien Tettambel, D.O., S.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Melicien Tettambel, D.O., S.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.