Meridian Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MERIDIAN PODIATRY LLC

Practice address

4123 University Blvd S Ste F
Jacksonville, FL 32216-4320

Phone

(904) 701-3140

Fax

(904) 990-1504

NPI assigned

Nov 18, 2020

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Norshae Robinson, DPMNPI 1083029698

Title

Owner

Phone

(904) 701-3140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norshae Robinson, DPM

  • Podiatrist
  • Jacksonville, FL
  • NPI 1083029698
  Medicare reassignment NPD Authorized official
• Faramarz Behzadi, MD

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1982715033
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1538762984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE F",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-701-3140",
            "fax_number": "904-990-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE F",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-701-3140",
            "fax_number": "904-990-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NORSHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-701-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Transportation LLC
• Katelyn Meredith
• Julie Diane Mergl, LMHC, LPC
• Patricia Mergo, MD
• Jaime Lyn Mericle, LMHC
• Meridian Spine and Joint, Inc (Meridian Medical Clinic)
• Meridian Spine and Joint, Inc (Meridian Integrative Wellness)
• Anotte Justilien Meriedy, PMHNP-BC
• Valandrea Monet Merilan
• John Michael Meringolo Jr.

• Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.