Organization Active NPI

Thomas J. Melham MD LLC

  • Primary Care Clinic/Center
  • Muncie, IN
National Provider Identifier
1659733830
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THOMAS J. MELHAM MD LLC
Practice address
3711 N Everbrook LN
Muncie, IN 47304-5270
Phone
(765) 287-8596
Fax
(765) 287-8593
NPI assigned
Mar 25, 2016
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. Thomas J Melham, MD
Title
Owner
Phone
(765) 287-8596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3711 N Everbrook LN
Muncie, IN 47304-5270

Mailing address

3711 N Everbrook LN
Muncie, IN 47304-5270
Phone (765) 287-8596

National Provider Directory

National Provider Directory

Locations

3711 N Everbrook Ln
Muncie, IN 47304
Phone (314) 327-3562

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1659733830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 N EVERBROOK LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045270",
            "telephone_number": "765-287-8596",
            "fax_number": "765-287-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 N EVERBROOK LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045270",
            "telephone_number": "765-287-8596",
            "fax_number": "765-287-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. MELHAM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "MELHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-287-8596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.