Organization Active NPI

Melanie S Haddox, MD, LLC

  • Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1013049261
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35047294T Issued in OH
Legal business name
MELANIE S HADDOX, MD, LLC
Practice address
2639 Upton Ave
Toledo, OH 43606-3936
Phone
(419) 471-1848
Fax
(419) 471-0037
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. Melanie S Haddox, MDNPI 1609840099
Title
Owner
Phone
(419) 471-1848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 35047294T OH Primary

Addresses

Primary practice location

2639 Upton Ave
Toledo, OH 43606-3936

Mailing address

2639 Upton Ave
Toledo, OH 43606-3936
Phone (419) 471-1848

Other identifiers 5

IdentifierTypeStateIssuer
0593237MedicaidOH
000000166089OtherANTHEM
322767OtherMHN HMC
34149182200OtherBWC
DE9270OtherMEDICARE RR

Other names 1

  • Melanie Thombre, MD & Associates Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100318000719 OH Part B Supplier - Clinic/Group Practice 8325173149 Receives reassigned benefits from 3 practitioners
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

2639 Upton Ave
Toledo, OH 43606
Phone (419) 471-1848

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1013049261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 UPTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063936",
            "telephone_number": "419-471-1848",
            "fax_number": "419-471-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 UPTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063936",
            "telephone_number": "419-471-1848",
            "fax_number": "419-471-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE S HADDOX, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "HADDOX",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-471-1848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35047294T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0593237",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000166089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN HMC",
            "identifier": "322767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34149182200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DE9270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melanie Thombre, MD & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.