Meridian Adult Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M7522 Issued in ID

Legal business name

MERIDIAN ADULT MEDICINE, PLLC

Practice address

520 S Eagle Rd
Suite 1221
Meridian, ID 83642-6351

Phone

(208) 884-3770

Fax

(208) 884-5602

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Louis Michael Schlickman, M.D.NPI 1629022116

Title

Owner

Phone

(208) 884-3770

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Louis Michael Schlickman, M.D.

  • Internal Medicine Physician
  • Meridian, ID
  • NPI 1629022116
  NPD (past) Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1619921202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "address_2": "SUITE 1221",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-884-3770",
            "fax_number": "208-884-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "address_2": "SUITE 1221",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-884-3770",
            "fax_number": "208-884-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN ADULT MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SCHLICKMAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-884-3770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M7522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "8J810",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DC8105",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mentor Idaho, LLC
• Mentor Idaho, LLC
• Robert Menz, NP
• Mitchell Mercado
• William Chandler Merchant, DC
• Meridian Chiropractic Clinic LLC
• Meridian Counseling Center
• Meridian Dental, PLLC
• Meridian Dermatology PLLC
• Meridian Developmental Center, Inc.

• Internal Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.