Active NPI
Stephen Michael Meritt, DPM
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
National Provider Identifier
1396715801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO865
- Practice address
- 431 W 8TH St
Jacksonville, FL 32206-4332 - Phone
- (904) 355-1553
- Fax
- (904) 356-7774
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO865 | FL | Primary |
Addresses
Primary practice location
431 W 8TH St
Jacksonville, FL 32206-4332
Mailing address
431 W 8TH St
Jacksonville, FL 32206-4332
Phone (904) 355-1553
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FL MCAID | Medicaid | FL | |
| 000824854C | Medicaid | GA | |
| 480027244 | Other | FL | RAILROAD MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1396715801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064332",
"telephone_number": "904-355-1553",
"fax_number": "904-356-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064332",
"telephone_number": "904-355-1553",
"fax_number": "904-356-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERITT",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FL MCAID",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000824854C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480027244",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.