Active NPI
Robert Merritt, CRNA
- Certified Registered Nurse Anesthetist
- York, PA
National Provider Identifier
1003898735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN244350L
- Practice address
- 25 Monument Rd Ste 270
York, PA 17403 - Phone
- (717) 741-8250
- Fax
- (717) 741-8289
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN244350L | PA | Primary |
Addresses
Primary practice location
25 Monument Rd Ste 270
York, PA 17403
Mailing address
PO Box 783497
Philadelphia, PA 19178-3497
Phone (610) 395-4044
Other practice location 1
5100 W Tilghman St Ste 315
Allentown, PA 18104-9166
Phone (610) 395-4044
Other practice location 2
25 Monument Rd Ste 270
York, PA 17403
Phone (717) 741-8250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001618737 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN244350L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmwood Eye, P.C. | Past | Accepting new patients | |
| Lisa S. Bunin, M.D. | Past | Accepting new patients | |
| Ephrata Community Hospital | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- York, PA
- NPI 1104384130
-
- Psychiatry Physician
- Ephrata, PA
- NPI 1366589566
-
- Eyewear Supplier
- Allentown, PA
- NPI 1639393820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1003898735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783497",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783497",
"telephone_number": "610-395-4044",
"fax_number": "610-395-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MONUMENT RD STE 270",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-741-8250",
"fax_number": "717-741-8289"
}
],
"practiceLocations": [
{
"address_1": "5100 W Tilghman St Ste 315",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181049166",
"country_code": "US",
"telephone_number": "610-395-4044",
"fax_number": "610-395-5693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 270",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "17403",
"country_code": "US",
"telephone_number": "717-741-8250",
"fax_number": "717-741-8289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRITT",
"first_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN244350L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001618737",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.