NPIMap

Individual provider Active NPI

Melville Q. Wyche III, MD

  • Anesthesiology Physician
  • New Orleans, LA
National Provider Identifier
1003831942
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11067R Issued in LA
Practice address
4346 Bancroft Dr
New Orleans, LA 70122-1202
Phone
(504) 286-7794
Fax
(504) 286-7796
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11067R LA Primary
General Practice Physician 208D00000X 11067R LA

Addresses

Primary practice location

4346 Bancroft Dr
New Orleans, LA 70122-1202

Mailing address

4346 Bancroft Dr
New Orleans, LA 70122-1202
Phone (504) 286-7794

Other identifiers 1

IdentifierTypeStateIssuer
1652717MedicaidLA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11067RLAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Anesthesia Partners, LLC Anesthesiology Past Accepting new patients
University Healthcare System, LC Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Pendleton Methodist Hospital, L.L.C. Past Accepting new patients
Anesthesia East Inc Anesthesiology Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1003831942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 BANCROFT DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701221202",
            "telephone_number": "504-286-7794",
            "fax_number": "504-286-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 BANCROFT DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701221202",
            "telephone_number": "504-286-7794",
            "fax_number": "504-286-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHE",
        "first_name": "MELVILLE",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "11067R",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "11067R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1652717",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.