Lourdes E Melendez-Oetinger, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

25813 Issued in AZ

Practice address

270 E Hunt Hwy Ste 10
San Tan Valley, AZ 85143-4963

Phone

(480) 987-5500

Fax

(480) 987-5017

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lourdes E Melendez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1316929201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10757 N 74TH STREET",
            "address_2": "UNIT 1006",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-283-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E HUNT HWY STE 10",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434963",
            "telephone_number": "480-987-5500",
            "fax_number": "480-987-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ-OETINGER",
        "first_name": "LOURDES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "25813",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "25813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408569",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "MELENDEZ",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meaningful Life Behavioral Health
• Medi-Ride LLC
• Alexa A Medina, HIS
• Anithsia Mejia
• Noelle Mejia, LCSW
• Menage Life LLC
• Jamie Lynn Mendez, RN
• Grace Mendoza, MSC, LPC
• Mental Health Refreshed LLC
• Shannon Raquel Miles, FNP

• All providers in San Tan Valley, AZ
• Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.