Melchor Sipalay MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38338 Issued in CO

Legal business name

MELCHOR SIPALAY MD LLC

Practice address

2001 Lake Ave
Pueblo, CO 81004-3538

Phone

(719) 564-0300

Fax

(719) 564-0303

NPI assigned

Jun 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melchor Sipalay, M.D.NPI 1356390074

Title

Owner

Phone

(719) 564-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKE MEDICAL GROUP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melchor J Sipalay, MD

  • Internal Medicine Physician
  • Pueblo, CO
  • NPI 1356390074
  NPD (past) Authorized official
• George F Birks, M.D.

  • Internal Medicine Physician
  • Pueblo, CO
  • NPI 1659338499
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1003012279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAKE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043538",
            "telephone_number": "719-564-0300",
            "fax_number": "719-564-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAKE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043538",
            "telephone_number": "719-564-0300",
            "fax_number": "719-564-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELCHOR SIPALAY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "SIPALAY",
        "authorized_official_first_name": "MELCHOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-564-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "38338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56483872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Alice Mehess, LCSW, LAC
• Kristen Ellen Meier, RN
• Wilbur Fred Meiklejohn, O.D.
• Dalia E Meisha
• Matthew T Mejia, PSY D, LPC
• Rosendo Melendez
• Joseph Edward Melgares
• Nathan Melito
• Ayushi Mendiratta, MD
• Joseph Mendoza-Green

• Internal Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.