Melanie Denise Prince, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

E-7510 Issued in AR

Practice address

8201 Cantrell Rd
Ste 265
Little Rock, AR 72227-2453

Phone

(501) 225-3333

Fax

(501) 225-3338

NPI assigned

Jul 15, 2007

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Melanie Prince, MD, PA

  • Plastic Surgery Physician
  • Little Rock, AR
  • NPI 1326488339
  NPD Authorized official

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1033318589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 CANTRELL RD",
            "address_2": "STE 265",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272453",
            "telephone_number": "501-225-3333",
            "fax_number": "501-225-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CANTRELL RD",
            "address_2": "STE 265",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272453",
            "telephone_number": "501-225-3333",
            "fax_number": "501-225-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "MELANIE",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "TRN9979",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AR",
            "license": "E7510",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AR",
            "license": "E-7510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195170001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Medical Group PLLC
• Stacie Prime, QBHP
• Audra Prince, MD
• Christopher D Prince, CRNA
• John Robert Prince, MD
• Rebekah Marie Prine, APRN
• Herman Gates Privett
• Anna Privratsky, D.O.
• Pro-Kids Therapy, LLC
• Procare Therapy Services LLC

• Plastic and Reconstructive Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Plastic and Reconstructive Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.