Merit Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MERIT DERMATOLOGY, S.C.

Practice address

6233 Bankers Rd
Suite 20
Mount Pleasant, WI 53403-9700

Phone

(262) 898-4400

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

James G Delis, D.O.

Title

President

Phone

(847) 414-7010

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1649664434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 BANKERS RD",
            "address_2": "SUITE 3",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039700",
            "telephone_number": "262-898-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 BANKERS RD",
            "address_2": "SUITE 20",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039700",
            "telephone_number": "262-898-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "DELIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-414-7010",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Mecham, MPT
• Medical Support Services Inc
• Haley E. Meekma, DPT
• Anthony Megna
• Elizabeth Melis, PT
• Lauren Messier, PA
• Barbara Marie Meyer
• Jordan Meyer, DC
• Sharon Michael, RDN, CD
• Maria Michna, MS,OTR/L

• Dermatology Physician in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.