Kyle Merritt

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9106424 Issued in FL

Practice address

1818 Harden Blvd
Suite 120
Lakeland, FL 33803-1812

Phone

(239) 278-1155

Fax

(239) 278-1159

NPI assigned

Mar 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chukwuka C Okafor, MD, Mba, PAGroup PAC ID 0840482733, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chukwuka C Okafor, MD, Mba, PA

  • Orthopaedic Surgery of the Spine Physician
  • Lakeland, FL
  • NPI 1962714071
  Medicare reassignment Care Compare group
• Ospine, LLC

  • Ambulatory Surgical Clinic/Center
  • Lakeland, FL
  • NPI 1811573017
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1689940934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HARDEN BLVD",
            "address_2": "SUITE 120",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031812",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HARDEN BLVD",
            "address_2": "SUITE 120",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031812",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Gabriel Mercado, MD
• Amber Michelle Mercer, LPN
• Sydney M Mergler
• Sabrina Merilus
• Ashlee Camille Merlino, APRN
• Tonya Clair Mesrobian
• Natalia Messenbaugh
• Edward Joseph Meszaros, D.M.D.
• Metampa, LLC
• Metampa, LLC

• Surgical Physician Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.