NPIMap

Organization Active NPI

Gerard F. Melanson M.D., LLC

  • Surgery Physician
  • Leesburg, FL
National Provider Identifier
1396093043
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME 0074063 Issued in FL
Legal business name
GERARD F. MELANSON M.D., LLC
Practice address
1016 North Blvd, East
Leesburg, FL 34748-5348
Phone
(352) 435-0122
Fax
(352) 435-0138
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Gerard F Melanson, M.D.
Title
Doctor
Phone
(352) 435-0122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME 0074063 FL Primary

Addresses

Primary practice location

1016 North Blvd, East
Leesburg, FL 34748-5348

Mailing address

1016 North Blvd, East
Leesburg, FL 34748-5348
Phone (352) 435-0122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1396093043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 NORTH BLVD, EAST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485348",
            "telephone_number": "352-435-0122",
            "fax_number": "352-435-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 NORTH BLVD, EAST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485348",
            "telephone_number": "352-435-0122",
            "fax_number": "352-435-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD F. MELANSON M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MELANSON",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "352-435-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 0074063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.