Gregory Nathan Melancon

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

111 S Main St
McAlester, OK 74501-5303

Phone

(918) 423-5204

NPI assigned

Feb 18, 2015

Last updated

Feb 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1760873335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015303",
            "telephone_number": "918-423-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015303",
            "telephone_number": "918-423-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "GREGORY",
        "middle_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200305190B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Med-Trans Corporation
• Medical Center Pharmacy of Durant, Inc. (Advanced Care Medical Equipment)
• Medical Clinic of McAlester, LLC
• Medical Fitness Institute of Oklahoma Inc.
• Teela Dawn Meers, LMT
• Melissa Byrum Speech Therapy
• Amanda Michelle Melton-Murray
• Jeffrey C Melton, A.R.N.P.
• Vanessa Lydia Meuniot, D.O.
• Millie S Meza, MS. LPC

• Counselor in McAlester, OK
• Providers in McAlester, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.