Michael R Melancon, Md

LBN: Michael R Melancon, Md
Michael R Melancon, Md is an health care organization with primary practice located at 4650 Ambassador Caffery Pkwy Suite 105, Lafayette LA 70508-6926. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Michael R Melancon, Md can be contacted via phone (337) 989-8080, or through Melancon, Michael Ray via phone (337) 989-8080.

Contact Information

Primary practice address
4650 Ambassador Caffery Pkwy Suite 105 Lafayette LA 70508-6926
Phone: (337) 989-8080
Fax: (337) 981-0913
Website:
Map and Directions
Authorized official contact:
Name: Melancon, Michael Ray Doctor of Medicine (MD)
Phone: (337) 989-8080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 015178 Louisiana

Profile Details

NPI number 1750640058
LBN Legal business name Michael R Melancon, Md
DBA Doing business as
Authorized official Melancon, Michael Ray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2012
Last updated May 8th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750640058 NPPES
Louisiana MEDICAID 1324833

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