Individual provider Active NPI

Nelson McCoy Melick, M.D.

  • Anesthesiology Physician
  • Roseville, OH
National Provider Identifier
1699078477
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35023588 Issued in OH
Practice address
8000 Fulton-Rose Rd.
Roseville, OH 43777
Phone
(740) 697-7061
NPI assigned
Dec 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35023588 OH Primary

Addresses

Primary practice location

8000 Fulton-Rose Rd.
Roseville, OH 43777

Mailing address

8000 Fulton-Rose Rd.
Roseville, OH 43777
Phone (740) 697-7061

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

LicenseStateTypeSpecialty
35023588OHMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1699078477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 FULTON-ROSE RD.",
            "city": "ROSEVILLE",
            "state": "OH",
            "postal_code": "43777",
            "telephone_number": "740-697-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FULTON-ROSE RD.",
            "city": "ROSEVILLE",
            "state": "OH",
            "postal_code": "43777",
            "telephone_number": "740-697-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELICK",
        "first_name": "NELSON",
        "middle_name": "MCCOY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35023588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.