Active NPI
John T. Melvin, M.D. & Associates
- Specialist
- Henderson, TX
National Provider Identifier
1598093742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G5370
- Legal business name
- JOHN T. MELVIN, M.D. & ASSOCIATES
- Practice address
- 701 N High St
Suite C
Henderson, TX 75652-5983 - Phone
- (903) 657-1251
- Fax
- (903) 657-3122
- NPI assigned
- Nov 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca D Merritt
- Title
- Office Manager
- Phone
- (903) 657-1251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G5370 | TX | Primary |
Addresses
Primary practice location
701 N High St
Suite C
Henderson, TX 75652-5983
Mailing address
PO Box 854
Henderson, TX 75653-0854
Phone (903) 657-1251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110139601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
701 N High St
Ste C
Henderson, TX 75652
Phone (903) 657-1251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259539200000",
"number": "1598093742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 854",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756530854",
"telephone_number": "903-657-1251",
"fax_number": "903-657-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N HIGH ST",
"address_2": "SUITE C",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756525983",
"telephone_number": "903-657-1251",
"fax_number": "903-657-3122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN T. MELVIN, M.D. & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A",
"authorized_official_last_name": "MERRITT",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "903-657-1251",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "G5370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110139601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.