Organization Active NPI

Meritt and Associates

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1255576906
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO865 Issued in FL
Legal business name
MERITT AND ASSOCIATES
Practice address
431 W 8TH St
Jacksonville, FL 32206-4332
Phone
(904) 355-1553
Fax
(904) 356-7774
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Stephen M Meritt, DPM
Title
Owner
Phone
(904) 355-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO865 FL Primary

Addresses

Primary practice location

431 W 8TH St
Jacksonville, FL 32206-4332

Mailing address

431 W 8TH St
Jacksonville, FL 32206-4332
Phone (904) 355-1553

Other identifiers 1

IdentifierTypeStateIssuer
041080200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1255576906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064332",
            "telephone_number": "904-355-1553",
            "fax_number": "904-356-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064332",
            "telephone_number": "904-355-1553",
            "fax_number": "904-356-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERITT AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "MERITT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-355-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041080200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.