Active NPI
Melina Ree Calderon, PA-C
- Medical Physician Assistant
- High Point, NC
National Provider Identifier
1598026254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0010-08470
- Practice address
- 2754 NC Highway 68 S Ste 111
High Point, NC 27265-8382 - Phone
- (336) 802-1111
- Fax
- (336) 803-7136
- NPI assigned
- May 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA07792 | TX | |
| Medical Physician Assistant | 363AM0700X | 0010-08470 | NC | Primary |
Addresses
Primary practice location
2754 NC Highway 68 S Ste 111
High Point, NC 27265-8382
Mailing address
2754 NC Highway 68 S Ste 111
High Point, NC 27265-8382
Phone (336) 802-1111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-08470 | NC | MD | Medical Physician Assistant |
| PA07792 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Pediatrics, PC | Past | Accepting new patients |
Interoperability endpoints
- mcalderon@tp.trimed.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- High Point, NC
- NPI 1407355704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1598026254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2754 NC HIGHWAY 68 S STE 111",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658382",
"telephone_number": "336-802-1111",
"fax_number": "336-803-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2754 NC HIGHWAY 68 S STE 111",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658382",
"telephone_number": "336-802-1111",
"fax_number": "336-803-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "MELINA",
"middle_name": "REE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA07792",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-08470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.