Clark Wayne Melonson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

701 County Road 154
Liberty, TX 77575-9305

Phone

(281) 636-6979

NPI assigned

Jun 17, 2022

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Call Away Medicab LLC

  • Secured Medical Transport (VAN)
  • Liberty, TX
  • NPI 1336877281
  NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1972234227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COUNTY ROAD 154",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775759305",
            "telephone_number": "281-636-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COUNTY ROAD 154",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775759305",
            "telephone_number": "281-636-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELONSON",
        "first_name": "CLARK",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Alberto Lopez, CMI
• Mann Eye Center, PA (Mann Eye Institute)
• Victoria Dianne Manning, FNP-BC
• Med-Equip of Texas Inc
• Faresh S Mehta, O.D.
• Edwin Allen Morgan III, PA
• Michael Edwin Muldrow
• Navig8 Post Acute Physicians PLLC
• Northland Hearing Center, Inc. (SoundWorks Hearing Centers)
• Dawn O'Leary, PTA

• Non-emergency Medical Transport (VAN) in Liberty, TX
• Providers in Liberty, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.