Active NPI
Melvin Elliot Pann, MD
- Surgery Physician
- Coral Springs, FL
National Provider Identifier
1629070586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0035549
- Practice address
- 3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172 - Phone
- (954) 755-0111
- Fax
- (955) 755-2209
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0035549 | FL | Primary |
Addresses
Primary practice location
3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Mailing address
3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone (954) 755-0111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79528 | Other | FL | BLUECROSSBLUESHIELD |
| 0163184 | Other | FL | GHI |
| 204026 | Other | FL | AVMED |
| 002656 | Other | FL | NHP |
| 039414900 | Medicaid | FL | |
| P00474395 | Other | FL | MEDICARE RAILROAD |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0035549 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1629070586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 CORAL HILLS DR",
"address_2": "SUITE 320",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654172",
"telephone_number": "954-755-0111",
"fax_number": "955-755-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 CORAL HILLS DR",
"address_2": "SUITE 320",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654172",
"telephone_number": "954-755-0111",
"fax_number": "955-755-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANN",
"first_name": "MELVIN",
"middle_name": "ELLIOT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0035549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "79528",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0163184",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "204026",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "002656",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039414900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00474395",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.