Charles Edward Merrill Sr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.005908 Issued in OH

Practice address

227 Third Street
Marietta, OH 45750-1323

Phone

(740) 434-5952

Fax

(740) 434-5903

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1366547382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 THIRD STREET",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501323",
            "telephone_number": "740-434-5952",
            "fax_number": "740-434-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 THIRD STREET",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501323",
            "telephone_number": "740-434-5952",
            "fax_number": "740-434-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34 . 005908",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.005908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Service Company
• Antonio Meehan
• Jana Caroline Meister, OTR/L
• Erick C Meliher, NP
• Lakyn Allison Merrifield, PA-C
• Abby K Merrow, CRNA
• Megan Mestuzzi
• Ariel M Metcalf
• Sara Marie Metheney, LPN
• Micayla B Lyons LLC

• Family Medicine Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.