Melanie Petro MD LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

27512 Issued in AL

Legal business name

MELANIE PETRO MD LLC

Practice address

905 Moontgomery Highway
Birmingham, AL 35216

Phone

(205) 259-3991

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Melanie Petro, MD

Title

Owner

Phone

(205) 259-3991

Specialties & licenses 1

Addresses

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.

• Melanie L Petro, MD, LLC

  • Facial Plastic Surgery Physician
  • Vestavia, AL
  • NPI 1689082273
  NPD tax ID

Locations

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1780056945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MOONTGOMERY HIGHWAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MOONTGOMERY HIGHWAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-259-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE PETRO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-259-3991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "27512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kim Meinke, PHARM D
• Kyle Kenneth Meissner, MD
• Meiza Wellness
• Cyril Fotabong Mela, MD, MSC., MPH
• Benjamin Jude Melancon, MD
• Leon Frank Melazzo, D.M.D.
• David Brandon Melcher
• Kent Michael Melchiors
• Donna Ann Melder, LPC
• Yulia Melenevsky, M.D.

• Plastic and Reconstructive Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Plastic and Reconstructive Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.