DR. SHANE AUSTIN MELTON (NPI# 1134249212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134249212 |
| Entity Type | Individual |
| Full Name | DR. SHANE AUSTIN MELTON |
| Credential | M.D. |
| Practice Address |
4301 W Markham St Little Rock AR 72205-7101 |
| Mailing Address |
6026 Oak Meadows Rd Alexander AR 72002-8408 |
| Practice Telephone | 5016867000 |
| Mailing Telephone | 5018474248 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E-5122 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICAL LICENSE | E-5122 | 01 |
| Street Address |
4301 W MARKHAM ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998487 | Jan K Hastings | Pharmacist | 4301 W Markham St, #522, Little Rock, AR 72205-7101 | 2005-08-04 |
| 1043810971 | Prashanth Reddy Damalcheruvu | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7199 | 2020-10-29 |
| 1114533619 | Nitesh Gautam | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-09-20 |
| 1891301818 | Rachel Rosenbaum | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-09-16 |
| 1477164861 | Ashtyn Leann Knowles | Dietitian, Registered | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-08-11 |
| 1700404118 | Candace Johnson | Social Worker | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-07-12 |
| 1851919245 | Omar Alqaisi | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-07-11 |
| 1295364578 | Julie Michelle Nessler | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-04-07 |
| 1346879079 | Brian Wesley Rhea | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7199 | 2020-04-04 |
| 1265060388 | Erin Elizabeth Hall | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Slot 517, Little Rock, AR 72205-7101 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907051 | David Crow | Emergency Medicine | 4301 W Makham St., Little Rock, AR 72205 | 2017-04-24 |
| 1811429772 | Meredith Kathleen Von Dohlen | Emergency Medicine | 4301 W Markham St, Slot 584, Little Rock, AR 72205-7199 | 2017-03-30 |
| 1528453727 | Adam Linn Skarda | Emergency Medicine | 4301 West Markham Slot 584, Little Rock, AR 72205-7199 | 2015-04-03 |
| 1558756718 | Heather Mclemore | Emergency Medicine | 4301 West Markham, Slot 584, Little Rock, AR 72205 | 2015-04-03 |
| 1568754497 | Matthew Martin Parker | Emergency Medicine | 4301 W Markham St # 504, Little Rock, AR 72205-7101 | 2011-05-11 |
| 1467615542 | Dennis R Burrow | Emergency Medicine | 311 N Elm St, Little Rock, AR 72205-5543 | 2008-07-08 |
| 1407020753 | Sarah M Greenberger | Emergency Medicine | 4301 W Markham St # 753, Little Rock, AR 72205-7101 | 2008-04-17 |
| 1396939781 | Samuel Heath Nay | Emergency Medicine | 14524 Cantrell Rd, Suite 160, Little Rock, AR 72223-4702 | 2007-08-29 |
| 1437371358 | Shawna Nicholle Wade | Emergency Medicine | 2 Stonebridge Circle #227, Little Rock, AR 72223-4572 | 2007-05-02 |
| 1528283538 | Robin I. Bohra | Emergency Medicine | 1505 N Hughes St, Little Rock, AR 72207-6115 | 2007-04-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.