Active NPI
Peter Melcher, M.D.
- Orthopaedic Surgery Physician
- Leesburg, FL
National Provider Identifier
1689082208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22724-20
- Practice address
- 4646 Summerbridge Cir
Leesburg, FL 34748-7486 - Phone
- (352) 874-5317
- NPI assigned
- Jul 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 22724-20 | WI | Primary |
Addresses
Primary practice location
4646 Summerbridge Cir
Leesburg, FL 34748-7486
Mailing address
4646 Summerbridge Cir
Leesburg, FL 34748-7486
Phone (352) 874-5317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22724-20 | Other | WI | STATE OF WISCONSIN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22724-20 | WI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1689082208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 SUMMERBRIDGE CIR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487486",
"telephone_number": "352-874-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 SUMMERBRIDGE CIR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487486",
"telephone_number": "352-874-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHER",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "22724-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN",
"identifier": "22724-20",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.