Provider Demographics
NPI:1245468362
Name:ROBEY, MELISSA DEBORRA (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:DEBORRA
Last Name:ROBEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:DEBORRA
Other - Last Name:RODGERS-ROBEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:490 MOHOULI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4050
Mailing Address - Country:US
Mailing Address - Phone:503-915-9046
Mailing Address - Fax:
Practice Address - Street 1:1190 WAIANUENUE AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2094
Practice Address - Country:US
Practice Address - Phone:808-932-3730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI22504207Q00000X
ORMD157670207Q00000X
WAML60092791207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500646950Medicaid
ORR166381Medicare PIN