Active NPI
Meryl Levya Goldstein, MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- Asheville, NC
National Provider Identifier
1265482137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 09900057
- Practice address
- 509 Biltmore Ave
Asheville, NC 28801-4601 - Phone
- (828) 253-0762
- Fax
- (828) 254-4892
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 09900057 | NC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 09900057 | NC | Primary |
Addresses
Primary practice location
509 Biltmore Ave
Asheville, NC 28801-4601
Mailing address
PO Box 419
Sylva, NC 28779-0419
Phone (828) 366-1150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891214E | Medicaid | NC | |
| 1214E | Other | NC | BCBS NC |
| 220029036 | Other | NC | RAILROAD MEDICARE |
Other names 1
- Meryl Lee Tillotson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09900057 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Clinical Laboratory Services, PLLC | Past | Accepting new patients | |
| Pathologists Medical Laboratory, P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Asheville, NC
- NPI 1477519148
-
- Clinical Pathology/Laboratory Medicine Physician
- Asheville, NC
- NPI 1215511043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1265482137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419",
"city": "SYLVA",
"state": "NC",
"postal_code": "287790419",
"telephone_number": "828-366-1150",
"fax_number": "828-586-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014601",
"telephone_number": "828-253-0762",
"fax_number": "828-254-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "MERYL",
"middle_name": "LEVYA",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NC",
"license": "09900057",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "09900057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891214E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "1214E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220029036",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MERYL",
"last_name": "TILLOTSON",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.