MELTON HEALTH AND MEDICAL SERVICES (NPI# 1134300049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134300049 |
| Entity Type | Organization |
| Organization Name | MELTON HEALTH AND MEDICAL SERVICES |
| Other Organization Name | OKLAHOMA NEUROPSYCHIATRIC INSTITUTE |
| Practice Address |
1129 S Aspen Ave Broken Arrow OK 74012-4859 |
| Mailing Address |
Po Box 35264 Tulsa OK 74153-0264 |
| Practice Telephone | 9187649300 |
| Mailing Telephone | 9187649300 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | DR. EDWARD GERARD MELTON (PRESIDENT) |
| Authorized Official Telephone | 9187649300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | OKLAHOMA NEUROPSYCHIATRIC INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
24098 | OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oklahoma NeuroPsychiatric Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093123101 | Melton Health and Medical Services | Counselor | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2014-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MELTON HEALTH AND MEDICAL SERVICES, PC | 141 S Garnett Rd, Tulsa, OK 74128 |
| Street Address |
1129 S ASPEN AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578524963 | William Obrien | Internal Medicine | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2006-03-28 |
| 1003201039 | Makeda Gant | Nurse Practitioner | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2015-04-06 |
| 1093123101 | Melton Health and Medical Services | Counselor | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2014-08-01 |
| 1487074787 | Jessica Scott | Counselor | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2014-04-24 |
| 1245589365 | Jennifer Anne Regester | Social Worker | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2012-09-05 |
| 1386956217 | Tanith Elizabeth Garner | Social Worker | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375324 | Hope Restored Counseling LLC | Clinic/Center | 1211 N Shartel Ave Ste 602, Oklahoma City, OK 73103-2445 | 2018-08-07 |
| 1063903839 | Felicia Hurst Therapy LLC | Clinic/Center | 2007 N Commerce St Ste 212, Ardmore, OK 73401-1268 | 2018-05-28 |
| 1003304254 | Serenity Counseling LLC | Clinic/Center | 5103 S Sheridan Rd # 323, Tulsa, OK 74145-7627 | 2018-04-24 |
| 1750897518 | Living Hope Eating Disorder Treatment Center, Pllc | Clinic/Center | 3900 E Robinson St, Norman, OK 73026-0725 | 2017-12-15 |
| 1912337643 | Latanya Dodd | Clinic/Center | 1540 E 68th Pl, Tulsa, OK 74136 | 2013-11-15 |
| 1356787444 | Cherokee Nation | Clinic/Center | 1277 Skill Center Cir, Tahlequah, OK 74464-6495 | 2013-05-15 |
| 1548526908 | Hope Johnson | Clinic/Center | 21182 Meadow Ln, Howe, OK 74940 | 2012-04-10 |
| 1518223502 | Rohit Gautam | Clinic/Center | 9205 S Shartel Ave Apt 201, Oklahoma City, OK 73139-5214 | 2012-04-04 |
| 1679764807 | Riverside Counseling Services | Clinic/Center | 5272 S Lewis Ave Ste 250, Tulsa, OK 74105-6564 | 2007-08-05 |
| 1629268404 | Hope Counseling Services, Inc | Clinic/Center | 4411 Highline Blvd, Suite 204, Oklahoma City, OK 73108-1865 | 2007-07-27 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.