Individual provider Active NPI

Jennifer Merriman, MD

  • Maternal & Fetal Medicine Physician
  • Newark, DE
National Provider Identifier
1215073127
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
C1-0008631 Issued in DE
Practice address
1 Centurian Dr
Suite 312
Newark, DE 19713-2137
Phone
(302) 319-5680
Fax
(302) 319-5681
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT050309 PA
Maternal & Fetal Medicine Physician 207VM0101X C1-0008631 DE Primary

Addresses

Primary practice location

1 Centurian Dr
Suite 312
Newark, DE 19713-2137

Mailing address

1 Centurian Dr
Suite 312
Newark, DE 19713-2137
Phone (302) 319-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820001608 UT Practitioner - Obstetrics/Gynecology 4688747751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT050309PAMDObstetrics & Gynecology Physician
C1-0008631DEMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Obstetrics & Gynecology CurrentSince Sep 14, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 14, 2020 Accepting new patients
Western Gynecological and Obstetrical Clinic, Inc. Obstetrics & Gynecology PastSince Aug 1, 2004 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

98 N 1100 E
Ste 402
American Fork, UT 84003
Phone (801) 492-2320

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000

4401 Harrison Blvd
Ste 4600
Ogden, UT 84403
Phone (801) 387-4647

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

3723 W 12600 S
Ste 350
Riverton, UT 84065
Phone (801) 285-4730

5121 S Cottonwood St
Ste 130
Salt Lake City, UT 84107
Phone (801) 507-7400

5121 S Cottonwood St
Ste 100
Salt Lake City, UT 84107
Phone (801) 507-7400

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

1380 E Medical Center Dr
Ste 1600
St George, UT 84790
Phone (435) 251-4150

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1215073127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 312",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-319-5680",
            "fax_number": "302-319-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 312",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-319-5680",
            "fax_number": "302-319-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT050309",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "DE",
            "license": "C1-0008631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.