Scott D. Meredith, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0094-00582 Issued in NC

Practice address

4101 Macon Pond Rd
Raleigh, NC 27607-6319

Phone

(919) 781-7070

NPI assigned

Aug 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Wakemed Faculty Practice Plan

  • Pediatric Critical Care Medicine Physician
  • Raleigh, NC
  • NPI 1013203819
  NPD (past)
• Wakemed Faculty Practice Plan

  • Surgery Physician
  • Raleigh, NC
  • NPI 1396791786

  Otolaryngology

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1801805080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600106",
            "telephone_number": "919-781-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MACON POND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076319",
            "telephone_number": "919-781-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "0094-00582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958670",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Manor at Saybrooke, Inc
• Meredith College
• Meredith College Autism Program
• Keely Meredith
• Meghan Hardman Meredith, OTD, OTR/L
• Meridian Healthcare of NC LLC
• Meridian Healthcare of NC, LLC
• Paul Mermin, PH.D.
• Danielle Sharon Mernenko, CRNA
• Marjorie Eleanor Merod, M.D.

• Otolaryngology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.