NPIMap

Organization Active NPI

Persila V. Mertz, M.D., P.C.

  • Ophthalmology Physician
  • Ephrata, PA
National Provider Identifier
1093934655
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD043167E Issued in PA
Legal business name
PERSILA V. MERTZ, M.D., P.C.
Practice address
115 E Main St
Ephrata, PA 17522-2710
Phone
(717) 733-3600
Fax
(717) 721-3038
NPI assigned
Apr 24, 2007
Last updated
Jul 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Persila V Mertz, M.D.NPI 1942262019
Title
Owner
Phone
(717) 733-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD043167E PA Primary

Addresses

Primary practice location

115 E Main St
Ephrata, PA 17522-2710

Mailing address

115 E Main St
Ephrata, PA 17522-2710
Phone (717) 733-3600

Other identifiers 4

IdentifierTypeStateIssuer
1942262019OtherINDIVIDUAL NPI
093980OtherMEDICARE PROVIDER NUMBER
110758OtherMEDICARE PTAN
110758OtherMEDICARE LEGACY NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1093934655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222710",
            "telephone_number": "717-733-3600",
            "fax_number": "717-721-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222710",
            "telephone_number": "717-733-3600",
            "fax_number": "717-721-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSILA V. MERTZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "PERSILA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-733-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD043167E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942262019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "093980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "110758",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "110758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.