Active NPI
Susan Nancy Melton, MD
- Internal Medicine Physician
- Glen Mills, PA
National Provider Identifier
1891020210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD039487-E
- Practice address
- 425 Featherbed LN
Glen Mills, PA 19342-1548 - Phone
- (610) 331-6916
- NPI assigned
- Oct 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD039487-E | PA | Primary |
Addresses
Primary practice location
425 Featherbed LN
Glen Mills, PA 19342-1548
Mailing address
425 Featherbed LN
Glen Mills, PA 19342-1548
Phone (610) 331-6916
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 |
|---|---|---|---|
| MD039487-E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254614400000",
"number": "1891020210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 FEATHERBED LN",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421548",
"telephone_number": "610-331-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 FEATHERBED LN",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421548",
"telephone_number": "610-331-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "SUSAN",
"middle_name": "NANCY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-04",
"last_updated": "2009-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD039487-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.