Mervyn J. Samuel, M.D., Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35-03-5794-S Issued in OH

Legal business name

MERVYN J. SAMUEL, M.D., INC.

Practice address

5910 Cleveland Ave.
Suite 100
Columbus, OH 43231

Phone

(614) 882-4343

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Mervyn J. Samuel, M.D.

Title

Owner

Phone

(614) 882-4343

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milroy J Samuel, MD

  • Obstetrics & Gynecology Physician
  • Columbus, OH
  • NPI 1982647566
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609972082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVENUE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-793-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CLEVELAND AVE.",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43231",
            "telephone_number": "614-882-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVYN J. SAMUEL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "MERVYN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-882-4343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-03-5794-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda R Mertens, FNP-BC
• Leanne Mertens, CNP
• Selam G Mertu, LPN
• Marissa Maia Mertz, M.D.
• Srinivas R Merugu, MD
• Jill Merwin, RN
• Jacqueline Sakyim Merz, DDS
• Karen Sarah Lou Merz
• Laura Murray Merzbacher, PA-C
• Mesa Home Healthcare LLC

• Obstetrics & Gynecology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• 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.