Active NPI
Douglas Merrihew, M.D.
- Anesthesiology Physician
- Bay Shore, NY
National Provider Identifier
1700816014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 152096
- Practice address
- 301 E Main St
Anesthesia Department
Bay Shore, NY 11706-8408 - Phone
- (631) 968-3163
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 152096 | NY | Primary |
Addresses
Primary practice location
301 E Main St
Anesthesia Department
Bay Shore, NY 11706-8408
Mailing address
PO Box 29140
South Bay Anesthesia
New York, NY 10087-9140
Phone (800) 720-1664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050058321 | Other | RAILROAD MEDICARE | |
| 01138756 | Medicaid | NY |
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": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1700816014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29140",
"address_2": "SOUTH BAY ANESTHESIA",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100879140",
"telephone_number": "800-720-1664",
"fax_number": "207-753-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MAIN ST",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068408",
"telephone_number": "631-968-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIHEW",
"first_name": "DOUGLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "152096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050058321",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01138756",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
- Francine Mellow, LCSW-R
- Alexander S Melman, M.D.
- Brian James Melville, M.D.
- Allan D Memoracion, NP
- Linda Rose Merrick, MHC-LP
- Elizabeth M Meslin, MS, CCC-SLP
- Metropolitan Psychological & Licensed Master Social Work Services PLLC
- Nancy Jean Meyer
- Glenn Charles Meyers, RPA-C
- Richard Francis Michalowicz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.