Provider Demographics
NPI:1245223502
Name:TOYOS, MELISSA MORRISON (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MORRISON
Last Name:TOYOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:GAYLE
Other - Last Name:CABLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1798
Mailing Address - Street 2:DEPT 07-004
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-1798
Mailing Address - Country:US
Mailing Address - Phone:901-683-7255
Mailing Address - Fax:901-683-3523
Practice Address - Street 1:6465 N QUAIL HOLLOW RD STE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1448
Practice Address - Country:US
Practice Address - Phone:901-683-7255
Practice Address - Fax:901-683-3523
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS28411207W00000X
KS0428434207W00000X
MOMD108799207W00000X
NY300327-01207W00000X
TN50901207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03988Medicare UPIN
180038002OtherRAILROAD MEDICARE
406A162Medicare PIN