Active NPI
George W Merkle, MD PC
- Family Medicine Physician
- Bluffton, IN
National Provider Identifier
1376506915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01023363
- Practice address
- 360 N Main St
Ste a
Bluffton, IN 46714-2041 - Phone
- (260) 824-4315
- Fax
- (260) 824-4962
- NPI assigned
- Apr 6, 2006
- Last updated
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01023363 | IN | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 01023363 | IN |
Addresses
Primary practice location
360 N Main St
Ste a
Bluffton, IN 46714-2041
Mailing address
360 N Main
Ste a
Buffton, IN 46714
Phone (260) 824-4315
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000179540 | Other | IN | ANTHEM |
| 100257790 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01023363 | IN | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1376506915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 N MAIN",
"address_2": "STE A",
"city": "BUFFTON",
"state": "IN",
"postal_code": "46714",
"telephone_number": "260-824-4315",
"fax_number": "260-824-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N MAIN ST",
"address_2": "STE A",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "467142041",
"telephone_number": "260-824-4315",
"fax_number": "260-824-4962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKLE",
"first_name": "GEORGE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01023363",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01023363",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000179540",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100257790",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, IN
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- Meridian Health Services Corp
- Meridian Health Services Corp (Meridian Health Services)
- Meridian Health Services Corp.
- Meridian Health Services Corp. (Meridian Health Services)
- Julayne Anne Miller, O.D.
- Katelyn Miller
- Matthew David Mitchell, O.D.
- Eden Christine Mock, MSW, LCSW
- Amin Mohamed, PHARMACIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.