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Export Provider Record NPI 1336569755
Fredric Leroy MeltonM.D.
Active
NPI Number1336569755
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1336569755
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-04-24
Last Updated2022-07-21
Mailing Address10738 Business 21
Hillsboro, MO 63050-5075
United States
Phone: (636) 543-2328 | Fax: (636) 543-2329
📍 View Map
Primary Practice Address10738 Business 21
Hillsboro, MO 63050-5075
United States
Phone: (636) 543-2328
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineMOM02017022848
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About NPI 1336569755

Fredric Leroy Melton M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336569755. The primary specialty listed is Family Medicine. The provider is located in Hillsboro, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-04-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336569755?

NPI 1336569755 belongs to Fredric Leroy Melton M.D., a Family Medicine in Hillsboro, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336569755 active?

The current status of NPI 1336569755 in the NPPES registry is Active. The record was last updated on 2022-07-21.

What specialty is NPI 1336569755?

NPI 1336569755 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336569755?

You can verify NPI 1336569755 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336569755?

The primary practice address on file for NPI 1336569755 is 10738 Business 21, Hillsboro, MO 63050-5075. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336569755 issued?

NPI 1336569755 was first issued (enumerated) on 2014-04-24. The NPPES record was last updated on 2022-07-21.

Practice Location Map

Fredric Leroy Melton is located at 10738 Business 21, Hillsboro, MO. Use the map below to find directions or verify the practice location.

📍 10738 Business 21, Hillsboro, MO 63050-5075  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Fredric Leroy Melton. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336569755. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family MedicineM02017022848MO
Data Verified from CMS NPPES Last synced: 2026-08-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162