Organization Active NPI

Daniel a Meline MD PC

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1104936194
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DANIEL A MELINE MD PC
Practice address
9767 N 91St St
Suite 100
Scottsdale, AZ 85258-5086
Phone
(480) 860-1990
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Daniel A Meline, MD
Title
Presidient/Owner
Phone
(480) 860-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

9767 N 91St St
Suite 100
Scottsdale, AZ 85258-5086

Mailing address

PO Box 21166
Mesa, AZ 85277-1166
Phone (480) 860-1990

Other identifiers 1

IdentifierTypeStateIssuer
116518MedicaidAZ

National Provider Directory

National Provider Directory

Locations

9767 N 91st St
Ste 100
Scottsdale, AZ 85258
Phone (480) 860-1990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1104936194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21166",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852771166",
            "telephone_number": "480-860-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9767 N 91ST ST",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585086",
            "telephone_number": "480-860-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A MELINE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "MELINE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDIENT/OWNER",
        "authorized_official_telephone_number": "480-860-1990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116518",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.