Larry Dale Melton, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25254 Issued in KY

Practice address

7712 Cambridge CT
Crestwood, KY 40014-8932

Phone

(502) 599-6341

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2019.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1154976405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 CAMBRIDGE CT.",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "40014",
            "telephone_number": "502-599-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 CAMBRIDGE CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148932",
            "telephone_number": "502-599-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "LARRY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "25254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Mattera
• Lexi Lillian McClanahan, PA-C
• Fay C McCutchan, LCSW
• Patricia Jane McInerney, PT
• Sean Denelle McMillin, RNFA
• Richard William Menard, PHARMD
• Merclan
• Merclan PLLC
• Tricia A Meyer, PSY.D.
• Lisa Hartke Michalowicz

• All providers in Crestwood, KY
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.