NPIMap

Organization Active NPI

Melanie L Petro, MD, LLC

  • Facial Plastic Surgery Physician
  • Vestavia, AL
National Provider Identifier
1689082273
Registry record updated Jul 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
27512 Issued in AL
Legal business name
MELANIE L PETRO, MD, LLC
Practice address
1995 Ves Trace Cir
Vestavia, AL 35216-1372
Phone
(205) 568-8012
NPI assigned
Jul 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2014

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

Authorized official

Name
Melanie L Petro, M.D.
Title
Owner
Phone
(205) 568-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YS0123X 27512 AL Primary

Addresses

Primary practice location

1995 Ves Trace Cir
Vestavia, AL 35216-1372

Mailing address

1995 Ves Trace Cir
Vestavia, AL 35216-1372
Phone (205) 568-8012

National Provider Directory

National Provider Directory
Tax ID family
Melanie L Petro MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406419200000",
    "number": "1689082273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 VES TRACE CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161372",
            "telephone_number": "205-568-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 VES TRACE CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161372",
            "telephone_number": "205-568-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE L PETRO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-27",
        "last_updated": "2014-07-27",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-568-8012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AL",
            "license": "27512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.