Active NPI
Ward Merkeley, MD
- Emergency Medicine Physician
- Deer Park, WA
National Provider Identifier
1669522827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- AM1108114
- Practice address
- 1015 E 'D' Street
Deer Park, WA 99006-0742 - Phone
- (509) 276-5061
- Fax
- (509) 276-8713
- NPI assigned
- Jan 11, 2007
- Last updated
- Dec 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | AM1108114 | WA | Primary |
Addresses
Primary practice location
1015 E 'D' Street
Deer Park, WA 99006-0742
Mailing address
910 N Washington St
Suite 209
Spokane, WA 99201-2202
Phone (509) 232-1173
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7086051 | Medicaid | WA | |
| GAB02213 | Other | WA | MEDICARE GROUP |
| 8124505 | Medicaid | WA | |
| G000362000 | Other | WA | MEDICARE GROUP |
| 8124504 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AM1108114 | WA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1669522827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 N WASHINGTON ST",
"address_2": "SUITE 209",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012202",
"telephone_number": "509-232-1173",
"fax_number": "509-232-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 E 'D' STREET",
"city": "DEER PARK",
"state": "WA",
"postal_code": "990060742",
"telephone_number": "509-276-5061",
"fax_number": "509-276-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKELEY",
"first_name": "WARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "AM1108114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7086051",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GAB02213",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8124505",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "G000362000",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8124504",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.