Merritt-Titus PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0044271 Issued in FL

Legal business name

MERRITT-TITUS PA

Doing business as

Royal Oaks Medical Center

Practice address

1855 Knox McRae Dr
Titusville, FL 32780-5492

Phone

(321) 269-2028

Fax

(321) 267-8814

NPI assigned

May 11, 2006

Last updated

Apr 30, 2008By 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. Anthony Kinsella, M.D.

Title

Owner/Physician

Phone

(321) 269-2028

Specialties & licenses 1

Addresses

Other names 1

• Royal Oaks Medical Center Doing business as

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.

• Stephanie M Flood, PA-C

  • Physician Assistant
  • St Petersburg, FL
  • NPI 1134174600
  NPD
• Robert P Holfelder, PA-C

  • Medical Physician Assistant
  • Port St John, FL
  • NPI 1477595148
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1619927464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805492",
            "telephone_number": "321-269-2028",
            "fax_number": "321-267-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805492",
            "telephone_number": "321-269-2028",
            "fax_number": "321-267-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT-TITUS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "KINSELLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-269-2028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0044271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oaks Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Medina
• Mefl, LLC
• Francisca a A Mencia-Ziegenfus, ARNP
• Karen Menor, PA-C
• Anibal Mercado Jr., LMHC
• Sonya Dee Merritt, APRN
• David A Meyer, RPH
• Michael J Kutryb MD PA
• McKayla Michaud, PA-C
• Michele Harrington LCSW Inc

• Family Medicine Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.