Active NPI
Merit Medical Care LLC
- Primary Care Clinic/Center
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MERIT MEDICAL CARE LLC
- Practice address
- 45 McLeod St Ste 200
Merritt Island, FL 32953-3523 - Phone
- (321) 452-2016
- NPI assigned
- Jan 5, 2010
- Last updated
- Nov 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- San Htut Thiha, M.D.
- Title
- Owner
- Phone
- (321) 452-2016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
45 McLeod St Ste 200
Merritt Island, FL 32953-3523
Mailing address
45 McLeod St
Merritt Island, FL 32953-3523
Phone (321) 452-2016
Other practice location 1
1395 N Courtenay Pkwy Ste 200
Merritt Island, FL 32953-4475
Phone (321) 459-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2001935 | Merit Medical Care | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
45 McLeod St
Merritt Island, FL 32953
Phone (321) 452-2016
45 McLeod St
Ste 200
Merritt Island, FL 32953
Phone (321) 452-2016
925 N Courtenay Pkwy
Ste 12
Merritt Island, FL 32953
Phone (321) 452-2016
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Merritt Island, FL
- NPI 1285678995
-
- Family Nurse Practitioner
- Merritt Island, FL
- NPI 1003068214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1265762819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 MCLEOD ST",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533523",
"telephone_number": "321-452-2016",
"fax_number": "321-452-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 MCLEOD ST STE 200",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533523",
"telephone_number": "321-452-2016"
}
],
"practiceLocations": [
{
"address_1": "1395 N Courtenay Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "329534475",
"country_code": "US",
"telephone_number": "321-459-1333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MERIT MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "THIHA",
"authorized_official_first_name": "SAN",
"authorized_official_middle_name": "HTUT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-452-2016",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
- Virginia Melhorn
- Melodie's Place LLC (Melodie's Place On The River)
- Amado Jose Mendoza, P.T.
- Josefina Mendoza, P.T.
- Meridian Teleradiology, Inc.
- John Andrew Merriam, PA-S
- Merritt Island ASC LLC (Courtenay Same Day Surgery Center)
- Merritt Island Chiropractic, LLC
- Merritt Island Conscious Sedation
- Merritt Island Foot & Ankle Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.