Active NPI
Charles S Merson, MD
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1598789356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A47852
- Practice address
- 1409 S Lamar St Apt 705
Dallas, TX 75215-6839 - Phone
- (561) 723-4235
- Fax
- (972) 913-4371
- NPI assigned
- Jul 26, 2006
- Last updated
- Apr 1, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 56773 | FL | |
| Anesthesiology Physician | 207L00000X | A47852 | CA | |
| Family Medicine Physician | 207Q00000X | A47852 | CA | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 56773 | FL |
Addresses
Primary practice location
1409 S Lamar St Apt 705
Dallas, TX 75215-6839
Mailing address
1409 S Lamar St Apt 705
Dallas, TX 75215-6839
Phone (561) 723-4235
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A47852 | CA | MD | Anesthesiology Physician |
| 56773 | FL | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Anesthesia PA | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Past | Accepting new patients |
| Florida Anesthesiology & Pain Clinic PA | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Consultants of the Palm Beaches PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Wellington, FL
- NPI 1720013287
-
- Interventional Pain Medicine Physician
- Orlando, FL
- NPI 1659304236
Anesthesiology
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1598789356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 S LAMAR ST APT 705",
"city": "DALLAS",
"state": "TX",
"postal_code": "752156839",
"telephone_number": "561-723-4235",
"fax_number": "972-913-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 S LAMAR ST APT 705",
"city": "DALLAS",
"state": "TX",
"postal_code": "752156839",
"telephone_number": "561-723-4235",
"fax_number": "972-913-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERSON",
"first_name": "CHARLES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "56773",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A47852",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A47852",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "56773",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.