DR. THOMAS MELLOW M.D. NPI 1003846361

NPI Information

NPI: 1003846361
Provider Name: DR. THOMAS MELLOW, M.D.
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
887 CONGRESS ST
SUITE 320
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5522
Get Directions

DR. Thomas Mellow, M.D. is a pediatric pulmonology pediatrics in Portland, ME. 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.

The provider's business location address is:

887 CONGRESS ST
SUITE 320
PORTLAND, ME
ZIP 04102-100
Phone: (207) 662-5522
Fax: (207) 662-5527

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 6/16/2011.

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	208000000X	Pediatrics		016021	MAINE	No
2	2080P0214X	Pediatrics	Pediatric Pulmonology	016021	MAINE	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	331790099	MEDICAID	MAINE
2	F79279	MEDICARE UPIN	MAINE
3	MM964101	MEDICARE PIN	MAINE
4	30203388	MEDICAID	NEW HAMPSHIRE
5	370021823	MEDICARE PIN	MAINE
6	MM9641	MEDICARE PIN	MAINE

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: 4/28/2024

NPI Synchronization or Removal

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