DR. KURT ALLAN MELSTROM JR. (NPI# 1508026832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508026832 |
| Entity Type | Individual |
| Full Name | DR. KURT ALLAN MELSTROM JR. |
| Credential | MD |
| Practice Address |
412 W Carroll Ave Ste 200 Glendora CA 91741-4709 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6269143921 |
| Practice Fax Number | 6269630500 |
| Mailing Telephone | 6267753514 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A135013 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 259161 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036114508 | IL | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | A135013 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Duarte Rd, Duarte, CA 910103012 | 6262564673 |
| Street Address |
412 W CARROLL AVE STE 200 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679786693 | Susanne G Warner | Surgery | 412 W Carroll Ave Ste 200, Glendora, CA 91741-4709 | 2007-05-07 |
| 1144521329 | Diana Cristina Londono | Urology | 412 W Carroll Ave Ste 200, Glendora, CA 91741-4709 | 2010-11-04 |
| 1124331723 | Ali-asghar Zhumkhawala | Urology | 412 W Carroll Ave Ste 200, Glendora, CA 91741-4709 | 2010-07-23 |
| 1164670287 | Seth Ashley Cohen | Surgery | 412 W Carroll Ave Ste 200, Glendora, CA 91741-4709 | 2008-09-03 |
| 1437360757 | Jonathan N Warner | Urology | 412 W Carroll Ave Ste 200, Glendora, CA 91741-4709 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437332 | George R. Moro | Colon & Rectal Surgery | 1140 W La Veta Ave Ste 830, Orange, CA 92868-4230 | 2015-09-22 |
| 1881087476 | Mark Paul Hachigian | Colon & Rectal Surgery | 16 Pinehurst Ln, Newport Beach, CA 92660-5229 | 2015-03-06 |
| 1982841250 | Central Valley Colon & Rectal Surgical Associates, Inc. | Colon & Rectal Surgery | 6121 N Thesta St Ste 202, Fresno, CA 93710-5294 | 2009-01-08 |
| 1972766970 | James Michael Conner | Colon & Rectal Surgery | 6450 Coyle Ave Ste 2, Carmichael, CA 95608-0313 | 2008-07-09 |
| 1063684850 | Marjun Philip Narciso Duldulao IIi | Colon & Rectal Surgery | 1450 San Pablo Street Suite 6200, Los Angeles, CA 90089-0112 | 2008-04-01 |
| 1144411414 | Theodore Coutsoftides | Colon & Rectal Surgery | 4061 Morning Star Dr, Huntington Beach, CA 92649-3009 | 2007-08-02 |
| 1023223849 | Robert Leroy Belt | Colon & Rectal Surgery | 31561 Table Rock Dr, Unit 108, Laguna Beach, CA 92651 | 2007-05-14 |
| 1063531176 | Chau V Dang Md Inc A Medical Corporation | Colon & Rectal Surgery | 5575 W Las Positas Blvd Ste 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1710029681 | Andrew Alan Shelton | Colon & Rectal Surgery | 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305-5820 | 2007-02-13 |
| 1720139488 | Beth A Moore | Colon & Rectal Surgery | 8737 Beverly Blvd Ste 402, West Hollywood, CA 90048-1838 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
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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.