Individual provider Active NPI

Gerald Palting Melchor, M.D.

  • Internal Medicine Physician
  • West Linn, OR
National Provider Identifier
1942408612
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440570 Issued in PA
Practice address
1750 SW Blankenship Rd
Suite 300
West Linn, OR 97068-5101
Phone
(503) 210-4900
Fax
(503) 210-4997
NPI assigned
Jul 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD440570 PA Primary

Addresses

Primary practice location

1750 SW Blankenship Rd
Suite 300
West Linn, OR 97068-5101

Mailing address

1750 SW Blankenship Rd
Suite 300
West Linn, OR 97068-5101
Phone (503) 210-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130514000696 WA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5890932636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD440570PAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1942408612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 SW BLANKENSHIP RD",
            "address_2": "SUITE 300",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685101",
            "telephone_number": "503-210-4900",
            "fax_number": "503-210-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SW BLANKENSHIP RD",
            "address_2": "SUITE 300",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685101",
            "telephone_number": "503-210-4900",
            "fax_number": "503-210-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHOR",
        "first_name": "GERALD",
        "middle_name": "PALTING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-04",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.