Active NPI
Melinda A Duncan, D.O.
- Otolaryngology Physician
- Palestine, TX
National Provider Identifier
1023000171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- E6333
- Practice address
- 112 Medical Dr
Palestine, TX 75801-4780 - Phone
- (903) 729-0444
- Fax
- (903) 729-7765
- NPI assigned
- Aug 16, 2005
- Last updated
- Feb 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | E6333 | TX | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | E6333 | TX | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | E6333 | TX |
Addresses
Primary practice location
112 Medical Dr
Palestine, TX 75801-4780
Mailing address
112 Medical Dr
Palestine, TX 75801-4780
Phone (903) 729-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016928354 | Other | TX | RR MEDICARE |
| 122764704 | Medicaid | TX |
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Medical Alliance LLP | Otolaryngology | Past | Accepting new patients |
| Eric L. Hensen, DO PA | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba First MedChoice
- Pediatrics Physician
- Palestine, TX
- NPI 1003935172
Otolaryngology
-
- Otolaryngology Physician
- Palestine, TX
- NPI 1700363694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1023000171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758014780",
"telephone_number": "903-729-0444",
"fax_number": "903-729-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758014780",
"telephone_number": "903-729-0444",
"fax_number": "903-729-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "MELINDA",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "E6333",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "TX",
"license": "E6333",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "TX",
"license": "E6333",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "016928354",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122764704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.