CHARLES L MELTON (NPI# 1962444166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962444166 |
| Entity Type | Individual |
| Full Name | CHARLES L MELTON |
| Credential | M.D. |
| Practice Address |
2604 Saint Michael Dr Ste 345 Texarkana TX 75503-2379 |
| Practice Telephone | 9038385500 |
| Practice Fax Number | 9038387402 |
| Mailing Telephone | 9038385500 |
| Mailing Fax Number | 9038387402 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
F6942 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 047791102 | 05 | |
| OK | 100150730A | 05 | |
| AR | BCBS OF ARKANSAS | 97146 | 01 |
| AR | QUAL CHOICE | 19559000040 | 01 |
| AR | BLUE LINK | 3250610 | 01 |
| TX | AETNA | 0004314459 | 01 |
| TX | BCBS OF TEXAS | 8G3790 | 01 |
| RAILROAD | O60068553 | 01 | |
| AR | 128230001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462146 | Charles Ray Melton | Nurse Practitioner | 6202 Nigel Dr, Louisville, KY 40216-1338 | 2018-10-13 |
| 1487708947 | Charles Alan Melton | Counselor | 300 Chestnut Aven, Valley Pastoral Counseling Center, Waynesboro, VA 22980 | 2007-01-22 |
| 1790896173 | Charles Melton | Dentist | 256 Montauk Highway, Starlight Dental Care, Moriches, NY 11955 | 2006-08-31 |
| 1578930087 | Charles Melton | Pharmacist | 9912 Dunbarton Blvd, Barnwell, SC 29812-1442 | 2015-09-01 |
| 1962493148 | Charles M Melton | Podiatrist | 1804 Ne Loop 410, Suite 200, San Antonio, TX 78217-5211 | 2005-11-04 |
| Street Address |
2604 SAINT MICHAEL DR STE 345 |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841984 | Texarkana Cardiovascular & Thoracic Surgical Associates Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2604 Saint Michael Dr, Suite 425, Texarkana, TX 75503-2379 | 2005-09-12 |
| 1265988208 | Kellie Lyn Flaherty | Physician Assistant | 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379 | 2016-08-30 |
| 1932571577 | Kimberly Scott | Nurse Practitioner | 2604 Saint Michael Dr, Ste 239, Texarkana, TX 75503-2379 | 2015-10-22 |
| 1790162238 | Christus Health Ark-la-tex | Internal Medicine | 2604 Saint Michael Dr, Ste 238, Texarkana, TX 75503-2379 | 2015-05-05 |
| 1740603521 | Christus Health Ark-la-tex | General Practice | 2604 Saint Michael Dr, 1st Floor, Texarkana, TX 75503-2379 | 2014-01-29 |
| 1780018143 | Yolanda Bone | Nurse Practitioner | 2604 Saint Michael Dr, Suite 238, Texarkana, TX 75503-2379 | 2013-08-21 |
| 1295047918 | Olubunmi A Ojelade | Family Medicine | 2604 Saint Michael Dr, Ste 340, Texarkana, TX 75503-2379 | 2010-07-10 |
| 1235369307 | Hesham Hazin | Internal Medicine | 2604 Saint Michael Dr, Ste 238, Texarkana, TX 75503-2379 | 2009-07-22 |
| 1114173754 | Rajeev Jayendra Patel | Internal Medicine | 2604 Saint Michael Dr, Suite 345, Texarkana, TX 75503-2379 | 2008-08-14 |
| 1881874394 | Charles Brady Humphrey | Physician Assistant | 2604 Saint Michael Dr, Ste 425, Texarkana, TX 75503-2379 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457669335 | John M Strayhorn Md Pa | Internal Medicine | 1002 Texas Blvd Ste 400, Texarkana, TX 75501-5113 | 2010-09-14 |
| 1013252279 | Collom & Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2012-11-29 |
| 1780981670 | Megan Do | Internal Medicine | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2011-02-11 |
| 1366485237 | James Michael Hurley | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-14 |
| 1568404622 | Brent William Robinson | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-12 |
| 1598707572 | Minakshi J Patel | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-12 |
| 1215974076 | James M Hurley Md Pa | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-01 |
| 1316923329 | Joseph Justin Saporito | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433455 | Chalkias Cardiology Pllc | Internal Medicine | 11671 Jollyville Rd Ste 120, Austin, TX 78759-4141 | 2020-10-01 |
| 1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
| 1295354611 | Cardiocentric | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-04-15 |
| 1134750995 | Specialized Heart Care, Pllc. | Internal Medicine | 7200 N Highway 161 Ste 205, Irving, TX 75039-4132 | 2020-01-30 |
| 1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
| 1790333516 | C Care Cardiovascular Center | Internal Medicine | 1445 Bessemer Dr Ste E, El Paso, TX 79936-5909 | 2019-08-27 |
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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.