Melvin Raun Child, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

106923-1206 Issued in UT

Practice address

150 E 500 N
Fillmore, UT 84631-3514

Phone

(435) 979-2487

NPI assigned

Jun 28, 2006

Last updated

Oct 2, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Central Utah Mental Health

  dba Central Utah Counseling Center

  • Mental Health Counselor
  • Nephi, UT
  • NPI 1679588024
  NPD (past)
• Central Utah Mental Health Substance Abuse

  dba Central Utah Counseling Center

  • Mental Health Counselor
  • Richfield, UT
  • NPI 1639184179
  NPD (past)
• Central Utah Mental Health Substance Abuse

  dba Central Utah Counseling Center

  • Mental Health Counselor
  • Ephraim, UT
  • NPI 1982619326
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1972531119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842",
            "city": "FILLMORE",
            "state": "UT",
            "postal_code": "846310842",
            "telephone_number": "435-979-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 500 N",
            "city": "FILLMORE",
            "state": "UT",
            "postal_code": "846313514",
            "telephone_number": "435-979-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "MELVIN",
        "middle_name": "RAUN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "106923-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Bruce Beckstrand, D.D.S.
• Jeffrey Logan Bell, CRNA
• Wayne O Brown, MD
• Matthew Lloyd Call, LMFT
• Central Utah Mental Health Substance Abuse (Central Utah Counseling Center)
• Macady Chlarson
• County of Millard (Millard County Ambulance)
• Delta Physical Therapy and Sports Medicine PC (Fillmore Physical Therapy)
• Ellsworth Foot and Ankle
• Craig M. Grose, M.D.

• Physician Assistant in Fillmore, UT
• Providers in Fillmore, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.