B Theo Mellion, PH.D, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

0430952 Issued in KS

Practice address

3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175

Phone

(316) 609-2600

Fax

(206) 609-2800

NPI assigned

Jun 24, 2006

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1417983032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-2600",
            "fax_number": "206-609-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-2600",
            "fax_number": "206-609-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLION",
        "first_name": "B",
        "middle_name": "THEO",
        "credential": "PH.D, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "0430952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270470B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa a Kabler, D.C. P.a.
• Melissa R Keusler, OD, PA
• Melissa T. Hopper, Psy.D., P.a.
• Lindsay Marie Mellan, PA-C
• Laura Beth Mellinger
• Alexandra Meloccaro, MD
• Elizabeth Carole Melton-Mendoza, MD
• Michael Glenn Melton, ABOC
• Ashley Melugin, APRN
• Sidney Jules Melugin

• Neurological Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Neurological Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.