DR. MICHAEL GERARDO MELENDEZ MD NPI 1013080787

NPI Information

NPI: 1013080787
Provider Name: DR. MICHAEL GERARDO MELENDEZ, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2789 E SPYGLASS CT
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 610-0041
Get Directions

DR. Michael Gerardo Melendez, MD is a diagnostic radiology radiology in Coeur D Alene, ID. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael Gerardo Melendez, MD NPI is 1013080787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2789 E SPYGLASS CT
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 610-0041
Fax: (208) 777-1313

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	160913-1205	UTAH	No
2	2085R0202X	Radiology	Diagnostic Radiology	M-3755	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B63618	MEDICARE UPIN
2	1115759	MEDICARE ID-TYPE UNSPECIFIED
3	8111379	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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