Ellen T Melvin MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME41899 Issued in FL

Legal business name

ELLEN T MELVIN MD PA

Practice address

3745 11TH Cir Ste 103
Vero Beach, FL 32960

Phone

(772) 569-6869

Fax

(772) 569-8214

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Ellen Therese Melvin, MD

Title

Owner/President

Phone

(772) 569-6869

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1043434947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 11TH CIR STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604838",
            "telephone_number": "772-569-6869",
            "fax_number": "772-569-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 11TH CIR STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-569-6869",
            "fax_number": "772-569-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN T MELVIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "772-569-6869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME41899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "440003585",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elders in Touch, Inc.
• Shams Miloud Elhuni, APRN
• Fedna Eliassaint, LCSW
• Elite Physical Therapy of Vero Beach LLC
• Dathy-Andele Elize Toussaint
• Anna Jones Elliott, CCC-SLP
• Connie Elliott, RN
• Pamela Ellis, M.A. CCC-SP
• Anna Kathryn Ellison
• Tiffany Jill Ellison

• Internal Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.