Active NPI
Colleen Martha Melburn, M.D.
- Anesthesiology Physician
- El Campo, TX
National Provider Identifier
1477543023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D3936
- Practice address
- 2894 East Jackson
El Campo, TX 77437-0867 - Phone
- (979) 543-6677
- NPI assigned
- Oct 25, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D3936 | TX | Primary |
Addresses
Primary practice location
2894 East Jackson
El Campo, TX 77437-0867
Mailing address
PO Box 867
El Campo, TX 77437-0867
Phone (979) 543-6677
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3936 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477543023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 867",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774370867",
"telephone_number": "979-543-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2894 EAST JACKSON",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774370867",
"telephone_number": "979-543-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELBURN",
"first_name": "COLLEEN",
"middle_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "D3936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Campo, TX
- Alexis Martinez, FNP-C
- Ashley Divya Mathew, DDS
- Lisa McGlone, D.D.S.
- Theresa D McKnight, NP
- Medistar Apothecary LLC
- Melissa a Kainer Erwin, M.D., P.a.
- Memeeha, LLC
- Memorial Hermann Health System (Memorial Hermann Sports Medicine and Rehabilitation-El Campo)
- Jean Ann Merck, LCP
- Kimberly E Mickelson, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.