Thomas J. Melham, MD, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01039790A Issued in IN

Legal business name

THOMAS J. MELHAM, MD, LLC

Practice address

2810 W Ethel Ave Ste 5
Muncie, IN 47304-4402

Phone

(765) 287-8596

Fax

(765) 287-8593

NPI assigned

Jul 6, 2007

Last updated

Aug 22, 2020By 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

Thomas J Melham, MD

Title

Owner

Phone

(765) 287-8596

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487852943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W ETHEL AVE STE 5",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044402",
            "telephone_number": "765-287-8596",
            "fax_number": "765-287-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W ETHEL AVE STE 5",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044402",
            "telephone_number": "765-287-8596",
            "fax_number": "765-287-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. MELHAM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-287-8596",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01039790A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10784368",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ANTHEM",
            "identifier": "000000337600",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER",
            "identifier": "1851495394",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5646042",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas C. Rector D.D.S. Inc
• Thomas E Murray Et Al PTR (Briarwood Clinic, The)
• Thomas E Strayer MD
• Thomas J Furnish (Royale Pharmacy)
• Thomas J. Melham MD LLC
• Amber Janel Thomas, SLP
• Dana Elaine Thomas, LMHC
• Jessica Lynn Thomas
• Justyce Thomas
• Kiersten Thomas, LMHC

• Primary Care Clinic/Center in Muncie, IN
• Providers in Muncie, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.