CHARLES DANIEL MELANCON PA NPI 1619977881

NPI Information

NPI: 1619977881
Provider Name: CHARLES DANIEL MELANCON, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: DAVID S. MULDOWNY, MD, APMC

PECOS Registration: Yes

Address:
1103 KALISTE SALOOM ROAD
SUITE 102
LAFAYETTE, LA
ZIP 70508
Phone: (337) 234-5234
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Charles Daniel Melancon, PA is a surgical physician assistant in Lafayette, LA with 21 years of experience. Charles Daniel Melancon, PA NPI is 1619977881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1103 KALISTE SALOOM ROAD
SUITE 102
LAFAYETTE, LA
ZIP 70508-636
Phone: (337) 234-5234
Fax: (337) 235-2121

The NPI 1619977881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 2/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	A10616	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	54977P824	MEDICARE PIN	LOUISIANA
2	Q20796	MEDICARE UPIN
3	5DD02P969	MEDICARE PIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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