Merrillwood Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MERRILLWOOD PEDIATRICS PC

Practice address

27332 Woodward Ave
Unit 100
Royal Oak, MI 48067

Phone

(248) 543-1545

Fax

(248) 543-8638

NPI assigned

Jul 19, 2006

Last updated

Jan 2, 2013By 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. Anne Butry Bluj, MDNPI 1982686283

Title

Officer

Phone

(248) 543-2403

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Anne Butry-Bluj, MD

  • Pediatrics Physician
  • Royal Oak, MI
  • NPI 1982686283
  NPD (past) Authorized official
• Leanne M Wisniewski, DO

  • Pediatrics Physician
  • Royal Oak, MI
  • NPI 1386626547
  NPD
• Zinaida O Laska Sobol, MD

  • Pediatrics Physician
  • Royal Oak, MI
  • NPI 1841272747
  NPD (past)
• Stephanie Beth Marcus, M.D.

  • Pediatrics Physician
  • Royal Oak, MI
  • NPI 1720427487
  NPD (past)
• Nicole R Peltz, DO

  • Pediatrics Physician
  • Royal Oak, MI
  • NPI 1053394742
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1619996824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27332 WOODWARD AVE",
            "address_2": "UNIT 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-543-1545",
            "fax_number": "248-543-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27332 WOODWARD AVE",
            "address_2": "UNIT 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-543-1545",
            "fax_number": "248-543-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILLWOOD PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "BUTRY BLUJ",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "248-543-2403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marielle Menke, RDN
• Daniel L Menkes, MD
• Lisa May Mercier, MSN, AGAC-BC
• Kathleen Madeleine Merenius, AGACNP-BC, DNP
• Maria Magdalena Merrill, PA-C
• Heidi Rebecca Merritt, D.D.S.
• Rachel Lynn Merritt, NP-C
• Thomas Mervak, PH.D.
• Katherine Marie Meshew, PA-C
• Jacob C Mesiti, DO

• Pediatrics Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.