Organization Active NPI

Peter F Merkle MD PA

  • Foot & Ankle Surgery Podiatrist
  • Pompano Beach, FL
National Provider Identifier
1124148432
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
ME51275 Issued in FL
Legal business name
PETER F MERKLE MD PA
Practice address
1101 E Sample Rd
Pompano Beach, FL 33064-5104
Phone
(954) 783-7100
Fax
(954) 783-7304
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Peter Frank Merkle, MDNPI 1710993258
Title
President
Phone
(954) 783-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X ME51275 FL Primary

Addresses

Primary practice location

1101 E Sample Rd
Pompano Beach, FL 33064-5104

Mailing address

1101 E Sample Rd
Pompano Beach, FL 33064-5113
Phone (954) 783-7100

Other identifiers 1

IdentifierTypeStateIssuer
05996OtherFLBLUE SHIELD PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930047694 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9032237912 Practice locations: Pompano Beach, FL
O20110714000162 FL Part B Supplier - Clinic/Group Practice 9032237912 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

1101 E Sample Rd
Ste 116
Pompano Beach, FL 33064

1101 E Sample Rd
Pompano Beach, FL 33064
Phone (954) 783-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1124148432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645113",
            "telephone_number": "954-783-7100",
            "fax_number": "954-783-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645104",
            "telephone_number": "954-783-7100",
            "fax_number": "954-783-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F MERKLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MERKLE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-783-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "ME51275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "05996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.