John A Merkle, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R6D30 Issued in MO

Practice address

774 N New Ballas Rd
St Louis, MO 63141-6716

Phone

(314) 567-1656

Fax

(314) 567-0622

NPI assigned

Jun 14, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott Radiological Group Inc

  • Diagnostic Radiology Physician
  • Festus, MO
  • NPI 1063445096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1023051349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 N NEW BALLAS RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631416716",
            "telephone_number": "314-567-1656",
            "fax_number": "314-567-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 N NEW BALLAS RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631416716",
            "telephone_number": "314-567-1656",
            "fax_number": "314-567-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLE",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R6D30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202788410",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PRT",
            "identifier": "1015722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1601253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "183229",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1601058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "202788410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meridian Health Mobility LLC
• Merit CDS, Inc.
• Meritorious Care Inc (Parkside Towers)
• Chrystall Merkaj
• Douglas Merkle
• Ashley Elizabeth Merlati, NP
• John Anthony Merlo, MD
• Lauren Marie Merlo
• Michelle Nicole Merlo, M. A. CCC-SLP
• Samantha Jo Merlo, DPT

• Diagnostic Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.