Dr. Ezekiel Derek Alexander Melquist
MD | Pediatrics | Male
Dr. Ezekiel Derek Alexander Melquist, MD is a Olympia, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ezekiel Derek Alexander Melquist is
525 Lilly Rd Ne, Olympia, Washington - 98506-5101. He can be contacted on phone at
360-493-7230 and fax number 360-493-5220.
Dr. Ezekiel Derek Alexander Melquist is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ezekiel Derek Alexander Melquist is
1720320724 which was assigned by NPPES on 18 Mar, 2013 and it was last updated on 20 Oct, 2021.
Dr. Ezekiel Derek Alexander Melquist license number is
MD61191074 for Pediatrics (208000000X) in Washington.
Dr. Ezekiel Derek Alexander Melquist is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ezekiel Derek Alexander Melquist basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ezekiel Derek Alexander Melquist |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Ezekiel Derek Alexander Melquist address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 525 Lilly Rd Ne
Olympia, WA, 98506-5101
United States |
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| Phone Number : | 360-493-7230 |
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| Fax Number : | 360-493-5220 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720320724 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Mar, 2013 |
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| Last Updated On : | 20 Oct, 2021 |
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Medicare Participation:
Dr. Ezekiel Derek Alexander Melquist participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6002214798 |
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| Medicare Enrollment ID : | I20211011001824 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Dr. Ezekiel Derek Alexander Melquist accepts medicare insurance. |
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Group Practice Association:
Dr. Ezekiel Derek Alexander Melquist is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Ezekiel Derek Alexander Melquist is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Providence Health And Services Washington | 6709782600 | 388 | 525 Lilly Rd Ne
Olympia, WA - 985065101
Ph: 3604937230 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ezekiel Derek Alexander Melquist are as mentioned. Primary taxonomy code for Dr. Ezekiel Derek Alexander Melquist, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD61191074 | WA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 525 Lilly Rd Ne
Olympia, WA, 98506-5101
United States |
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| Phone Number : | 360-493-7230 |
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| Fax Number : | 360-493-5220 |
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Business Location:
Patients can refer following map for directions to
Dr. Ezekiel Derek Alexander Melquist practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.