Active NPI
Melanie S Haddox, MD, LLC
- Psychiatry Physician
- Toledo, OH
National Provider Identifier
1013049261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35047294T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melanie S Haddox, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0593237 | Medicaid | OH | |
| 000000166089 | Other | ANTHEM | |
| 322767 | Other | MHN HMC | |
| 34149182200 | Other | BWC | |
| DE9270 | Other | MEDICARE RR |
Other names 1
- Melanie Thombre, MD & Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Toledo, OH
- NPI 1609840099
-
- Social Worker
- Maumee, OH
- NPI 1326034570
-
- Adult Psychiatric/Mental Health Registered Nurse
- Toledo, OH
- NPI 1649613951
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.