Organization Active NPI

Mark a. Melish, M.D., P.a.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1437254547
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G8278 Issued in TX
Legal business name
MARK A. MELISH, M.D., P.A.
Practice address
621 N Alamo St
San Antonio, TX 78215-1836
Phone
(210) 227-5223
Fax
(210) 224-6945
NPI assigned
Sep 13, 2006
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dr. Mark A Melish, M.D.NPI 1972638948
Title
Owner
Phone
(210) 227-5223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G8278 TX Primary

Addresses

Primary practice location

621 N Alamo St
San Antonio, TX 78215-1836

Mailing address

PO Box 29384
San Antonio, TX 78229-0384
Phone (210) 227-5168

Other identifiers 4

IdentifierTypeStateIssuer
00B60TOtherTXBCBS TEXAS
050009511OtherTXRAILROAD MEDICARE
157277801MedicaidTX
103527100OtherTXUSDOL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1437254547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29384",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290384",
            "telephone_number": "210-227-5168",
            "fax_number": "210-224-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N ALAMO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151836",
            "telephone_number": "210-227-5223",
            "fax_number": "210-224-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. MELISH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "MELISH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-227-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G8278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "00B60T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050009511",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157277801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "103527100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.