Active NPI
Pamela Marie Merritt, M.D.
- Family Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1639264708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME75775
- Practice address
- 6405 N Federal Hwy Ste 205
Fort Lauderdale, FL 33308-1414 - Phone
- (954) 772-2411
- Fax
- (954) 772-3766
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME75775 | FL | Primary |
Addresses
Primary practice location
6405 N Federal Hwy Ste 205
Fort Lauderdale, FL 33308-1414
Mailing address
1001 N Martel Ave
West Hollywood, CA 90046-6611
Phone (323) 436-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265701500 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1639264708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N MARTEL AVE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466611",
"telephone_number": "323-436-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 N FEDERAL HWY STE 205",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081414",
"telephone_number": "954-772-2411",
"fax_number": "954-772-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "PAMELA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME75775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265701500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.