Thomas P Melancon MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18656 Issued in LA

Legal business name

THOMAS P MELANCON MD LLC

Practice address

1111 Medical Center Blvd
Suite 205
Marrero, LA 70072-3151

Phone

(504) 392-7999

Fax

(504) 392-6100

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Thomas P Melancon, MDNPI 1811989197

Title

President

Phone

(504) 392-7999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2272/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Thomas P Melancon, M.D.

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1811989197
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1154650679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE 205",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-392-7999",
            "fax_number": "504-392-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE 205",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-392-7999",
            "fax_number": "504-392-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P MELANCON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-392-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "18656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397610",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Craig Thibodeaux, LPC
• Megan Thilman
• Larry Gotfrey Thirstrup, MD
• Pamela Thomas Augustus
• Thomas M Irwin Jr MD John G Kimble MD Apmc
• Brandy Elizabeth Thomas, MHS, LRC, CRC
• Charles W. Thomas, M.D.
• Lashante' Thomas, MENTAL HEALTH
• Morgan Thomas, PT, DPT
• Peggy Ann Thomas, PA-C

• Internal Medicine Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.