Active NPI
Gary Wayne Merritts, M.D.
- Emergency Medicine Physician
- Towanda, PA
National Provider Identifier
1164537007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD045524E
- Practice address
- 91 Hospital Dr
Towanda, PA 18848-9702 - Phone
- (570) 265-2191
- Fax
- (570) 268-2244
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD045524E | PA | Primary |
Addresses
Primary practice location
91 Hospital Dr
Towanda, PA 18848-9702
Mailing address
91 Hospital Dr
Towanda, PA 18848-9702
Phone (570) 265-2191
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045524E | PA | MD | Emergency Medicine Physician |
Interoperability endpoints
- gmerritts87880@direct-guthrie.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1164537007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 HOSPITAL DR",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188489702",
"telephone_number": "570-265-2191",
"fax_number": "570-268-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 HOSPITAL DR",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188489702",
"telephone_number": "570-265-2191",
"fax_number": "570-268-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITTS",
"first_name": "GARY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD045524E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towanda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.