Melrose Women'S Care

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

MELROSE WOMEN'S CARE

Practice address

2919 W. Swann Ave
Suite 303
Tampa, FL 33609

Phone

(813) 569-0740

Fax

(813) 864-7603

NPI assigned

Jan 23, 2008

Organization subpart

Yes

Parent organization

MELROSE WOMEN'S CAREAs reported in NPPES

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

Authorized official

Name

Dr. Nicole Fanarjian, MDNPI 1588674576

Title

Owner/Gunecology

Phone

(813) 569-0740

Specialties & licenses 2

Addresses

Other names 1

• South Tampa Gynecology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

South Tampa Gynecology

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole J Fanarjian, M.D.

  • Gynecology Physician
  • Tampa, FL
  • NPI 1588674576
  Medicare reassignment NPD Authorized official
• Antoinina Watkins, MD

  • Gynecology Physician
  • Tampa, FL
  • NPI 1528054509
  Medicare reassignment

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1376720128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W. SWANN AVE",
            "address_2": "SUITE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-569-0740",
            "fax_number": "813-864-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W. SWANN AVE",
            "address_2": "SUITE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-569-0740",
            "fax_number": "813-864-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE WOMEN'S CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELROSE WOMEN'S CARE",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "FANARJIAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/GUNECOLOGY",
        "authorized_official_telephone_number": "813-569-0740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME79261",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Tampa Gynecology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Tampa Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Matthew Mellor, M.D.
• Madison Mellquist
• Virginia McKenzie Melmed, DDS
• Kiara Melo, RBT
• Megan Elizabeth Melody, MD
• Debbie Lynn Melton
• Courtney Melvin
• Shenita Melvin
• Daniel John Melzer, PHARMD
• Elizabeth Sutter Melzer, MD

• Gynecology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.