Active NPI
Mark Anthony Merrick, AT, PHD, ATC, FNATA
- Athletic Trainer
- New Albany, OH
National Provider Identifier
1194162305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-933
- Practice address
- 1611 Perris CT
New Albany, OH 43054-8586 - Phone
- (614) 933-9414
- NPI assigned
- May 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-933 | OH | Primary |
Addresses
Primary practice location
1611 Perris CT
New Albany, OH 43054-8586
Mailing address
1611 Perris CT
New Albany, OH 43054-8586
Phone (614) 323-5787
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-933 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1194162305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 PERRIS CT",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548586",
"telephone_number": "614-323-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 PERRIS CT",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548586",
"telephone_number": "614-933-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRICK",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "AT, PHD, ATC, FNATA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT-933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.