Active NPI
Tobi G Melton
- Contractor
- Sahuarita, AZ
National Provider Identifier
1003073362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 550969
- Practice address
- 14334 S Camino Rio Abajo
Sahuarita, AZ 85629-8504 - Phone
- (520) 549-8756
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 550969 | AZ | Primary |
Addresses
Primary practice location
14334 S Camino Rio Abajo
Sahuarita, AZ 85629-8504
Mailing address
14334 S Camino Rio Abajo
Sahuarita, AZ 85629-8504
Phone (520) 549-8756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550969 | Other | AZ | STATE OF ARIZONA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550969 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1003073362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14334 S CAMINO RIO ABAJO",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856298504",
"telephone_number": "520-549-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14334 S CAMINO RIO ABAJO",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856298504",
"telephone_number": "520-549-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "TOBI",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "550969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ARIZONA",
"identifier": "550969",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sahuarita, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.