Active NPI
Paul William Merritt
- Driver
- Southfield, MI
National Provider Identifier
1386107167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- M630676887922
- Practice address
- 23540 Lee Baker Dr
Southfield, MI 48075-3359 - Phone
- (248) 905-3324
- Fax
- (248) 905-3324
- NPI assigned
- Apr 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | M630676887922 | MI | Primary |
Addresses
Primary practice location
23540 Lee Baker Dr
Southfield, MI 48075-3359
Mailing address
23540 Lee Baker Dr
Southfield, MI 48075-3359
Phone (248) 905-3324
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M630676887922 | MI | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hand Transportation Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Transportation Broker
- Southfield, MI
- NPI 1134783673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1386107167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23540 LEE BAKER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753359",
"telephone_number": "248-905-3324",
"fax_number": "248-905-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23540 LEE BAKER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753359",
"telephone_number": "248-905-3324",
"fax_number": "248-905-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "PAUL",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MI",
"license": "M630676887922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.