Healthcare Provider Details

I. General information

NPI: 1053586388
Provider Name (Legal Business Name): MELINDA JANE MORTON HAMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 12/28/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 L ST NW SUITE 450
WASHINGTON DC
20037-1527
US

IV. Provider business mailing address

2120 L ST NW SUITE 450
WASHINGTON DC
20037-1527
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3373
  • Fax: 202-741-2971
Mailing address:
  • Phone: 202-741-3373
  • Fax: 202-741-2971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD044607
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD71333
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: