Jim G Melton
Surgeon Vascular Surgeon
3200 Quail Springs Pkwy Ste 200
Oklahoma City
, Oklahoma 73134-2612
Jim G Melton
Surgeon Vascular Surgeon
3200 Quail Springs Pkwy Ste 200
Oklahoma City
, Oklahoma 73134-2612
(405) 701-9881
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jim G Melton
- 3200 Quail Springs Pkwy Ste 200
- Oklahoma City, OK
- Zip : 73134-2612
- Fax : (405) 701-9881
- Phone : (405) 701-9880
Second Address
- Jim G Melton
- 3200 Quail Springs Pkwy Ste 200
- Oklahoma City, OK
- Zip : 73134-2612
- Fax : (405) 701-9881
- Phone : (405) 701-9880
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 3168 | OK |
| N | 208600000X | Surgeon | 3168 | OK |
| Y | 2086S0129X | Vascular Surgeon | 3168 | OK |
National Provider Identifier
| NPI | 1093702011 |
|---|---|
| Provider Name | Jim G Melton |
| First Address | Oklahoma City, OK 73134-2612 |
| Second Address | Oklahoma City, OK 73134-2612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 18/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100130690A | (05) | OK |
| 770001792 | RAILROAD MEDICARE (01) | OK |
| F16473 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.