DR. THOMAS MELLOW M.D. NPI 1003846361

NPI Information

  • NPI: 1003846361
  • Provider Name: DR. THOMAS MELLOW, M.D.
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 FODEN RD STE 103
    SOUTH PORTLAND, ME
    ZIP 04106
  • Phone: (207) 828-1122

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NPI Details

DR. Thomas Mellow, M.D. is a pediatric pulmonology pediatrics in South Portland, ME with 33 years of experience. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. DR. Thomas Mellow, M.D. NPI is 1003846361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

100 FODEN RD STE 103
SOUTH PORTLAND, ME
ZIP 04106-327
Phone: (207) 828-1122
Fax: (207) 828-0188

The NPI 1003846361 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 7/3/2006 and was last updated on 9/30/2024.

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
1208000000XPediatrics016021MAINENo
22080P0214XPediatricsPediatric Pulmonology016021MAINEYes

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 Other Provider Identifier Issuer
130203388MEDICAIDNEW HAMPSHIRE
2331790099MEDICAIDMAINE

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: 3/30/2025

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