Delia Christina Meltontate, MD
Individual provider Active NPI Family Medicine Physician · Philadelphia, PA
NPI 1114907334 · NPPES record last updated Jan 20, 2011
Key facts
- NPI
- 1114907334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD043306L (PA)
- Practice address
- 1415 North Broad Street, Suite 224
Broad Street Health Center
Philadelphia, PA 19122-3323 - Phone
- (215) 235-7944
- Fax
- (215) 235-3361
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physicians Inc. | Family Medicine | Current |
Accepting new patients |
| Washington Physician Services | Family Medicine | Current |
Accepting new patients |
| Temple Physician Inc. | Current |
Accepting new patients | |
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| Erie Healthcare Services Inc | Family Medicine | Past | Accepting new patients |
Locations
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD043306L | PA | Yes |
Addresses
Primary practice location
1415 North Broad Street, Suite 224
Broad Street Health Center
Philadelphia, PA 19122-3323
Mailing address
5619-25 Vine Street
Spectrum Health Services, Inc.
Philadelphia, PA 19139-1302
Phone (215) 471-2761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019487970002 | Medicaid | PA | |
| 1490297 | Other | PA | HIGHMARK BLUE SHIELD |
| 01948797 | Medicaid | PA | |
| 002769 | Other | PA | FIRST PRIORITY HEALTH |
| 96030-C241 | Other | PA | GEISINGER |
| 232175463 | Other | PA | AETNA |
| 232175463 | Other | PA | AMERIHEALTH |
Other providers in Philadelphia, PA
- Karleen Theresa Melody
- Nicole Melone
- Melrose Podiatry Associates, Inc.
- Dennis Melton
- Margaret Melton
- Deborah T Meltz
- David Meltzer
- Emily Meltzer
- Lee R Meltzer
- Michele Meltzer
All providers in Philadelphia, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.