Meridian PHP Medical Services, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MERIDIAN PHP MEDICAL SERVICES, LLC

Practice address

2100 Glenwood Ave
Joliet, IL 60435-5487

Phone

(815) 725-2121

Fax

(815) 741-6238

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By 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

Mrs. Diana Yates, CPC-10, CPC-H, CPC-I

Title

Director of Business Services

Phone

(815) 999-3001

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1588068555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355487",
            "telephone_number": "815-725-2121",
            "fax_number": "815-741-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355487",
            "telephone_number": "815-725-2121",
            "fax_number": "815-741-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PHP MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "815-999-3001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC-10, CPC-H, CPC-I"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Mercado
• Hansel Lumayno Mercurio
• Megan Meredith, PTA
• Meridian Medical Associates
• Meridian Medical Associates, SC
• Hope Alyce Merritt, BCBA
• Kathleen C Mertes, LCPC
• Laura Jean M Mertes, LPC
• Sandra C Messina, MSW
• Jessica Messinger, RBT

• Pediatrics Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.