Individual provider Active NPI

Ronald H Melincoff, DPM

  • Podiatrist
  • West Chester, PA
National Provider Identifier
1609833672
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC2064L Issued in PA
Practice address
1450 E Boot Rd
Suite 200-B
West Chester, PA 19380-5300
Phone
(610) 692-0578
Fax
(610) 692-6852
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC2064L PA Primary

Addresses

Primary practice location

1450 E Boot Rd
Suite 200-B
West Chester, PA 19380-5300

Mailing address

1450 E Boot Rd
Suite 200-B
West Chester, PA 19380-5300
Phone (610) 692-0578

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC2064LPAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1609833672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD",
            "address_2": "SUITE 200-B",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805300",
            "telephone_number": "610-692-0578",
            "fax_number": "610-692-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD",
            "address_2": "SUITE 200-B",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805300",
            "telephone_number": "610-692-0578",
            "fax_number": "610-692-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELINCOFF",
        "first_name": "RONALD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC2064L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.