Kenneth S Merriman II, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301035154 Issued in MI

Practice address

840 Cook Rd
Hastings, MI 49058-9616

Phone

(269) 945-9520

Fax

(269) 945-3368

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hastings Orthopedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Hastings, MI
  • NPI 1811197593
  Authorized official Same address or phone

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1467480152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490580290",
            "telephone_number": "269-945-9520",
            "fax_number": "269-945-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 COOK RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589616",
            "telephone_number": "269-945-9520",
            "fax_number": "269-945-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "KENNETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301035154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200005744",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "200Z800130",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME WITH BCBS",
            "identifier": "540Z810220",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101378087",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME WITH MEDICAID",
            "identifier": "874704973",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee J McKay, NP
• Susan Ray McKinstry, PSP
• Gina Marie McMahon, LLP
• Jessica Mead, BA
• Javan Medema, PA-C
• Jennifer Ann Mervau, DO
• Michigan Medical Patient Care
• Michigan Workforce Training and Education Collaborative
• Michael Milne
• Mindset 2.0 P.L.L.C.

• Orthopaedic Surgery Physician in Hastings, MI
• Providers in Hastings, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.