JOHN NICHOLAS MELVAN (NPI# 1205279411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205279411 |
| Entity Type | Individual |
| Full Name | JOHN NICHOLAS MELVAN |
| Credential | M.D., PH.D. |
| Practice Address |
Holy Cross Medical Group, Div of Cardiothoracic Surgery 4725 North Federal Hwy, Suite 402 Fort Lauderdale FL 33308 |
| Practice Telephone | 9542676770 |
| Mailing Telephone | 9542676770 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 139813 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA STATE MEDICAL LICENSE | 139813 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1365 Clifton Rd Ne, Emory Clinic Building A, Ste. A2223, Atlanta, GA 303221013 | 4047783836 |
| Street Address |
HOLY CROSS MEDICAL GROUP, DIV OF CARDIOTHORACIC SURGERY 4725 NORTH FEDERAL HWY, SUITE 402 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083967517 | Roman B. Klos Md,pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4800 Ne 20th Ter Ste 101, Fort Lauderdale, FL 33308-4510 | 2012-10-22 |
| 1174591598 | Dennis John Tishko | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 Se 3rd Ave Ste 525, Fort Lauderdale, FL 33316-2521 | 2006-03-10 |
| 1699232058 | North Broward Hospital District | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 Se 3rd Ave Ste 501, Fort Lauderdale, FL 33316-2521 | 2019-02-21 |
| 1548532088 | Antonio G. Revilla Jr., M.d. P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1880 E Commercial Blvd, Suite 3, Fort Lauderdale, FL 33308-3747 | 2012-01-30 |
| 1912202698 | Ted J. Carson Md, Pa. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1820 E Commercial Blvd, Fort Lauderdale, FL 33308-3725 | 2011-01-11 |
| 1215266366 | Henry Joseph Coleman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 401 E Las Olas Blvd, Suite 130-153, Fort Lauderdale, FL 33301-2210 | 2009-12-21 |
| 1003026915 | Elite Cardiovascular Surgeons of South Florida | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1880 E Commercial Blvd, Suite 6, Fort Lauderdale, FL 33308-3747 | 2007-05-22 |
| 1275757205 | Wael Z Tamim M D P A | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 Se 3rd Ave, Suite 723, Fort Lauderdale, FL 33316-2521 | 2007-04-12 |
| 1356447155 | Ted J Carson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1820 E Commercial Blvd, Fort Lauderdale, FL 33308-3725 | 2006-09-16 |
| 1104867274 | Irving B David | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2006-06-09 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.