Active NPI
James Earl Melrose, M.D.
- General Practice Physician
- Orlando, FL
National Provider Identifier
1306067236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11258
- Practice address
- 6000 Turkey Lake Road
Orlando, FL 32819 - Phone
- (407) 648-5252
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11258 | FL | Primary |
Addresses
Primary practice location
6000 Turkey Lake Road
Orlando, FL 32819
Mailing address
227 Acadia Terrace
Celebration, FL 34747
Phone (207) 280-0737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151210000492 | ME | Order and Referring Only - Internal Medicine | 0840479861 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11258 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306067236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 ACADIA TERRACE",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "34747",
"telephone_number": "207-280-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 TURKEY LAKE ROAD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819",
"telephone_number": "407-648-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELROSE",
"first_name": "JAMES",
"middle_name": "EARL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "11258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.