Michael Ray Melancon in Lafayette - Pediatrics
Michael Ray Melancon - NPI 1992737621
Michael Ray Melancon is a Pediatrics in Lafayette, Louisiana. Michael Ray Melancon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michael Ray Melancon is 1992737621. The last update date is 2007-07-08.
Michael Ray Melancon's current location address is 4650 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can contact this provider via phone number 3379898080 and fax number 3379810913. The mailing address for Michael Ray Melancon is 4650 Ambassador Caffery Pkwy, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ray Melancon |
|---|---|
| Address | 4650 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Phone Number | 3379898080 |
| Fax Number | 3379810913 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992737621 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4650 Ambassador Caffery Pkwy |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705086926 |
| Phone Number | 3379898080 |
| Fax Number | 3379810913 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD015178 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15178 | LA | LA STATE LICENSE | |
| 721165262 | LA | FEDERAL TAX ID | |
| 1324833 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Ray Melancon?
The Michael Ray Melancon has been issued the NPI (National Provider Identifier) 1992737621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Michael Ray Melancon is physically located?
The Michael Ray Melancon is situated at the following address: 4650 Ambassador Caffery Pkwy, Lafayette, LA 705086926.
What is the Michael Ray Melancon's specialty and taxonomy code?
The Michael Ray Melancon's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992737621 to Michael Ray Melancon?
The Centers for Medicare & Medicaid Services assigned the 1992737621 to Michael Ray Melancon on 2006-07-06.
As of what date was the information regarding Michael Ray Melancon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Ray Melancon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.