Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720320724 Individual Practitioner Male Practitioner

Dr. Ezekiel Derek Alexander Melquist , MD

Pediatrics • Shelton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ezekiel Melquist, MD is a registered healthcare professional specializing in Pediatrics in Shelton, WA. Practice services are available at 1701 N 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 N 13th St

Shelton, WA 985842077

Telephone 3604262653
Fax 8889850681
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Shelton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Shelton, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD61191074

A pediatrician 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Darren Cuevas , DO

Family Medicine

NPI 1023497310

Doctor of Osteopathic Medicine (D.O.)

NPI 1033525852

Doctor of Medicine (M.D.)

Charles Anderegg , PA-C

Physician Assistant - Surgical

NPI 1124056437

Physician Assistant (Certified)

Vanessa Cray , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154969202

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Trevor Kwan , DO

Family Medicine

NPI 1184144768

Doctor of Osteopathic Medicine (D.O.)

Dr. Nikki Ann Medina , DO

Obstetrics & Gynecology

NPI 1194392589

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 21, 2024

Registered at 1701 N 13TH ST, SHELTON, WA 985842077 (Tel: 3604262653)

📍
Updated Business Mailing Address March 21, 2024

Registered at 2411 CRESTRIDGE DR NW, OLYMPIA, WA 985029706 (Tel: 3476774264)

📍
Updated Practice Location October 20, 2021

Registered at 525 LILLY RD NE, OLYMPIA, WA 985065101 (Tel: 3604937230)

📍
Updated Business Mailing Address October 20, 2021

Registered at 525 LILLY RD NE, OLYMPIA, WA 985065101 (Tel: 3604937230)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2021

Pediatrics (License #MD61191074 in WA)

📍
Updated Practice Location June 04, 2018

Registered at 475 BRUCE ST STE 400, YREKA, CA 960973463 (Tel: 5308414980)

📍
Updated Business Mailing Address June 04, 2018

Registered at 475 BRUCE ST STE 400, YREKA, CA 960973463 (Tel: 5308414980)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

Pediatrics (License #A146061 in CA)

NPI Profile Active March 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2013

Registered at 450 CLARKSON AVE, CHILDREN'S HOSPITAL AT SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY 112032012 (Tel: 7182702078)

📍
Updated Business Mailing Address March 18, 2013

Registered at 78 DEPTFORD HIGH STREET, FLAT B, LONDON, ENGLAND SE8 4RT (Tel: 7535164015)

👤
Provider Name / Credentials Updated March 18, 2013

Recorded as EZEKIEL MELQUIST, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ezekiel Melquist. Be the first to share your experience!

Sign in to leave a review for Dr. Ezekiel Melquist

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720320724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2013
Last Update: January 06, 2025
Sole Proprietor: No

Mailing Address

2411 Crestridge Dr Nw

Olympia, WA 985029706

Phone: 3476774264

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.