Individual provider Active NPI

Henry Neyron Merritt Jr., DPM

  • Podiatrist
  • Lauderhill, FL
National Provider Identifier
1184689119
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO385 Issued in FL
Practice address
1160 N State Road 7
Lauderhill, FL 33313-6630
Phone
(954) 791-7474
Fax
(954) 791-5807
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO385 FL Primary

Addresses

Primary practice location

1160 N State Road 7
Lauderhill, FL 33313-6630

Mailing address

1160 N State Road 7
Lauderhill, FL 33313-6630
Phone (954) 791-7474

Other identifiers 1

IdentifierTypeStateIssuer
041159100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000033 FL Practitioner - Podiatry 0840467882 Practice locations: Lauderhill, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1160 N State Rd
Suite 7
Lauderhill, FL 33313-6630
Phone (954) 791-7474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions23
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO385FLMDPodiatrist
385FLMDAnesthesiologist Assistant

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1184689119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N STATE ROAD 7",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136630",
            "telephone_number": "954-791-7474",
            "fax_number": "954-791-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N STATE ROAD 7",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136630",
            "telephone_number": "954-791-7474",
            "fax_number": "954-791-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "HENRY",
        "middle_name": "NEYRON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041159100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.