NPIMap

Organization Active NPI

J. Michael Merrill, D.O., P.a.

  • Family Medicine Physician
  • Hurst, TX
National Provider Identifier
1386738540
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D9238 Issued in TX
Legal business name
J. MICHAEL MERRILL, D.O., P.A.
Practice address
1709 Precinct Line Rd
Hurst, TX 76054-3131
Phone
(817) 281-0402
Fax
(817) 281-6364
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
James M Merrill, D.O.NPI 1912956665
Title
Owner
Phone
(817) 281-0402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D9238 TX Primary

Addresses

Primary practice location

1709 Precinct Line Rd
Hurst, TX 76054-3131

Mailing address

1709 Precinct Line Rd
Hurst, TX 76054-3131
Phone (817) 281-0402

Other identifiers 2

IdentifierTypeStateIssuer
1831162585OtherTXINDIV NPI
1912956665OtherTXINDIV NPI

Other names 1

  • Hurst Family Medical Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0724811Hurst Family Medical1709 Precinct Line Rd, Hurst, TX 76054Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

1709 Precinct Line Rd
Hurst, TX 76054
Phone (817) 281-0402

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1386738540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543131",
            "telephone_number": "817-281-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543131",
            "telephone_number": "817-281-0402",
            "fax_number": "817-281-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL MERRILL, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-281-0402",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D9238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1831162585",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1912956665",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurst Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.