Active NPI
John T Melton II, CRNA
- Certified Registered Nurse Anesthetist
- Henderson, KY
National Provider Identifier
1447224134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1033647
- Practice address
- 1305 N Elm St
Anesthesia Department
Henderson, KY 42420-2783 - Phone
- (270) 827-7700
- Fax
- (270) 827-7469
- NPI assigned
- Feb 17, 2006
- Last updated
- Feb 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1033647 | KY | Primary |
Addresses
Primary practice location
1305 N Elm St
Anesthesia Department
Henderson, KY 42420-2783
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000337068 | Other | KY | ANTHEM BC & BS |
| 74003377 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1033647 | KY | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1447224134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N ELM ST",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202783",
"telephone_number": "270-827-7700",
"fax_number": "270-827-7469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "JOHN",
"middle_name": "T",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1033647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS",
"identifier": "000000337068",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74003377",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
- Laura McGrail
- Emmaly Meier, M.S., LPP
- Melissa Thomas (Thomas Speech Therapy Solutions LLC)
- Melissa Ann Meljac, RN
- Bailey Elizabeth Melloy, MS, CCC-SLP
- Linda Menner, PHARM.D.
- Janet Lee Messer, LPCC
- Kayla Makay Messer, PHT
- Methodist Health, Inc. (Deaconess Henderson Hospital)
- Methodist Health, Inc. (Deaconess Henderson Sleep Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.