Individual provider Active NPI

Thurman Allen Merritt

  • Neonatal-Perinatal Medicine Physician
  • Lebanon, OR
National Provider Identifier
1124006598
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD19863 Issued in OR
Practice address
701 N 5TH St Unit C1020
Lebanon, OR 97355-9599
Phone
(541) 451-7820
Fax
(541) 451-7236
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD19863 OR Primary
Neonatal-Perinatal Medicine Physician 2080N0001X G28294 CA

Addresses

Primary practice location

701 N 5TH St Unit C1020
Lebanon, OR 97355-9599

Mailing address

701 N 5TH St Unit C1020
Lebanon, OR 97355-9599
Phone (541) 451-7820

Other identifiers 1

IdentifierTypeStateIssuer
080635MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19863ORMDNeonatal-Perinatal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: tamerrit@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1124006598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 5TH ST UNIT C1020",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973559599",
            "telephone_number": "541-451-7820",
            "fax_number": "541-451-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 5TH ST UNIT C1020",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973559599",
            "telephone_number": "541-451-7820",
            "fax_number": "541-451-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "THURMAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OR",
            "license": "MD19863",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "G28294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080635",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.