Organization Active NPI

Plastic Surgery Specialists, PC

  • Specialist
  • Grand Junction, CO
National Provider Identifier
1396892790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16074 Issued in CO
Legal business name
PLASTIC SURGERY SPECIALISTS, PC
Practice address
2525 N 8TH St Ste 203
Grand Junction, CO 81501-8847
Phone
(970) 242-9127
Fax
(970) 242-8304
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Doyle Merkel, MDNPI 1073843389
Title
President
Phone
(970) 242-9127

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 16074 CO Primary

Addresses

Primary practice location

2525 N 8TH St Ste 203
Grand Junction, CO 81501-8847

Mailing address

2525 N 8TH St Ste 203
Grand Junction, CO 81501-8847
Phone (970) 242-9127

Other identifiers 1

IdentifierTypeStateIssuer
00160746MedicaidCO

National Provider Directory

National Provider Directory

Locations

2525 N 8th St
Ste 203
Grand Junction, CO 81501
Phone (970) 242-9127

Practitioners & affiliated clinicians

Practitioners 3

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396892790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N 8TH ST STE 203",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018847",
            "telephone_number": "970-242-9127",
            "fax_number": "970-242-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N 8TH ST STE 203",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018847",
            "telephone_number": "970-242-9127",
            "fax_number": "970-242-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERKEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-242-9127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "16074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00160746",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.