Organization Active NPI

Melinda a Duncan DO, PA

  • Otolaryngology Physician
  • Palestine, TX
National Provider Identifier
1043454937
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E6333 Issued in TX
Legal business name
MELINDA A DUNCAN DO, PA
Practice address
112 Medical Dr
Palestine, TX 75801-4780
Phone
(903) 729-0444
Fax
(903) 729-7765
NPI assigned
Apr 23, 2009
Last updated
Feb 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Mrs. Sandra K Whitworth
Title
Billing Supervisor
Phone
(903) 727-0110

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 1

IdentifierTypeStateIssuer
0015SQOtherTXBC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1043454937",
    "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": {
        "organization_name": "MELINDA A DUNCAN DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "903-727-0110",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "BC/BS",
            "identifier": "0015SQ",
            "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 17, 2010; 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.