Active NPI
Lee D Merritt, M.D.
- Orthopaedic Surgery Physician
- Yuma, AZ
National Provider Identifier
1386617124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD33430
- Practice address
- 2051 W 25TH St
Suite B
Yuma, AZ 85364-6911 - Phone
- (928) 344-8220
- Fax
- (928) 726-0779
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD33430 | IA | Primary |
Addresses
Primary practice location
2051 W 25TH St
Suite B
Yuma, AZ 85364-6911
Mailing address
1600 Diamond Street
Onawa, IA 51040
Phone (712) 423-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321406 | Medicaid | AZ |
Other names 1
- Lee Hieb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181206002899 | NE | Practitioner - Orthopedic Surgery | 9436129392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD33430 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colleen J. Speidell NP PLC | Past | Accepting new patients | |
| Lee D. Hieb, M.D., P.C. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Yuma, AZ
- NPI 1033302195
-
- Orthopaedic Surgery Physician
- Yuma, AZ
- NPI 1417920257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1386617124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 DIAMOND STREET",
"city": "ONAWA",
"state": "IA",
"postal_code": "51040",
"telephone_number": "712-423-2311",
"fax_number": "712-423-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 W 25TH ST",
"address_2": "SUITE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646911",
"telephone_number": "928-344-8220",
"fax_number": "928-726-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "LEE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "MD33430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321406",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEE",
"last_name": "HIEB",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.