Meridian Health Plan, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MERIDIAN HEALTH PLAN, INC.

Practice address

777 Woodward Ave
Suite 600
Detroit, MI 48226-3536

Phone

(313) 324-3700

NPI assigned

Oct 21, 2010

Organization subpart

Yes

Parent organization

CAIDAN ENTERPRISES, INC.As reported in NPPES

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

Authorized official

Name

Dr. David Cotton

Title

President/Ceo

Phone

(313) 324-3701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1326348582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 WOODWARD AVE",
            "address_2": "SUITE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WOODWARD AVE",
            "address_2": "SUITE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263536",
            "telephone_number": "313-324-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTH PLAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAIDAN ENTERPRISES, INC.",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "313-324-3701",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Isaac Merhavy, MD
• Marlene Merideth
• Meridian Health Plan of Iowa, Inc.
• Meridian Health Plan of Michigan, Inc.
• Meridian Health Plan of Michigan, Inc.
• Brad M Merker, PH. D.
• Cassidy Diane Merklen
• Alec Merlington, MD
• Courtney Elizabeth Merlo, DO, RD
• Timothy Francis Merman, PSYC LLP & MSW-C&M

• Health Maintenance Organization in Detroit, MI
• Providers in Detroit, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.