Melrich Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

2008006962 Issued in MO

Legal business name

MELRICH INC

Practice address

625 Cannonbury Dr
Saint Louis, MO 63119-5312

Phone

(314) 395-3656

NPI assigned

Dec 31, 2010

Last updated

Dec 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard James Stork, MD

Title

President, Ceo

Phone

31439536356

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1457655748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CANNONBURY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195312",
            "telephone_number": "314-395-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CANNONBURY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195312",
            "telephone_number": "314-395-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELRICH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "STORK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "31439536356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2008006962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009976335",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000834666M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207032707",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3893809",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Michael Mellnick, MD
• Gregory Mellor
• Leslie Melnick
• Nikita Melnikov, MD
• Steven Meloy
• Kelsey Melsheimer, OTR/L
• Brenda Sue Melton, LPC
• Gabrielle Hancher Melton, RN
• Loren Melton
• Melvin a. Tann, Acsw, LCSW, LLC

• Pain Medicine (Anesthesiology) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pain Medicine (Anesthesiology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.