Individual provider Active NPI

Christopher M Melcher, PA

  • Physician Assistant
  • Hemphill, TX
National Provider Identifier
1164536454
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07350 Issued in TX
Practice address
1111 Worth St
Hemphill, TX 75948-7223
Phone
(409) 787-1707
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07350 TX Primary

Addresses

Primary practice location

1111 Worth St
Hemphill, TX 75948-7223

Mailing address

1111 Worth St
Hemphill, TX 75948-7223
Phone (409) 787-1707

Other identifiers 1

IdentifierTypeStateIssuer
284749301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000878 TX Practitioner - Physician Assistant 7012917693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Health Southeast TexasGroup PAC ID 3476460049, 5 clinicians

Practice addresses (Care Compare)

1276 S Peachtree St
Jasper, TX 75951-4916
Phone (409) 384-5701

Hospital & facility affiliations

  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospital Leasing Hemphill, Inc CurrentSince Jun 1, 2011 Accepting new patients
Preferred Hospital Leasing Hemphill, Inc. CurrentSince Jun 1, 2011 Accepting new patients

Locations

2421 Worth St
Hemphill, TX 75948
Phone (409) 787-1416

2301 Worth St
Hemphill, TX 75948

1111 Worth St
Hemphill, TX 75948
Phone (409) 787-1707

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1164536454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487223",
            "telephone_number": "409-787-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487223",
            "telephone_number": "409-787-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHER",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284749301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemphill, TX

Sources for this page

Verify at the official NPI Registry.