Active NPI
Tony R Melendez, SA-C
- Surgical Assistant
- Tucson, AZ
National Provider Identifier
1306084231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 09-123
- Practice address
- 3905 S Wolf Spider Way
Tucson, AZ 85735-5208 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Jan 30, 2009
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 09-123 | AZ | Primary |
Addresses
Primary practice location
3905 S Wolf Spider Way
Tucson, AZ 85735-5208
Mailing address
PO Box 2550
Rowlett, TX 75030-2550
Phone (214) 227-2457
Other names 1
- Antonio R Melendez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-123 | AZ | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adobe First Assist Services, LLC | Surgical Assistant | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Assistant
- Tucson, AZ
- NPI 1932332822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1306084231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2550",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750302550",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 S WOLF SPIDER WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857355208",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "TONY",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "AZ",
"license": "09-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANTONIO",
"last_name": "MELENDEZ",
"middle_name": "R",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.