Adult and Geriatric Medical Care, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADULT AND GERIATRIC MEDICAL CARE, P.C.

Practice address

2003 Lincoln Way
KMC Med Staff Office
Coeur D Alene, ID 83814-2611

Phone

(208) 651-1092

Fax

(877) 234-0633

NPI assigned

Dec 13, 2006

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

Dr. Susan Melchiore, M.D.

Title

Physician Owner

Phone

(208) 651-1092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619038346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350238",
            "telephone_number": "208-651-1092",
            "fax_number": "877-234-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN WAY",
            "address_2": "KMC MED STAFF OFFICE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142611",
            "telephone_number": "208-651-1092",
            "fax_number": "877-234-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND GERIATRIC MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELCHIORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "208-651-1092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Internal Medicine Physician in Idaho

• 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.