Melbourne Medicine & Surgery Assoc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME46431 Issued in FL

Legal business name

MELBOURNE MEDICINE & SURGERY ASSOC

Practice address

1251 Hickory St Ste a
Melbourne, FL 32901-3221

Phone

(321) 723-3113

Fax

(321) 768-0491

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John M Gayden Jr., MD

Title

President

Phone

(321) 723-3113

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1396889150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 HICKORY ST STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013221",
            "telephone_number": "321-723-3113",
            "fax_number": "321-768-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 HICKORY ST STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013221",
            "telephone_number": "321-723-3113",
            "fax_number": "321-768-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE MEDICINE & SURGERY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "GAYDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-723-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME46431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melbourne Hma Medical Group, LLC
• Melbourne Hma, LLC (Wuesthoff Medical Center - Melbourne)
• Melbourne Kidney Center Inc (Harbor City Dialysis)
• Melbourne Medical Laboratory LLC
• Melbourne Medical LLC
• Melbourne Medpsych PLLC
• Melbourne Mobile Podiatry
• Melbourne Opco, LLC (Nursing & Rehabilitation Center of Melbourne)
• Melbourne Pharma
• Melbourne Physician Services, LLC

• Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.