Organization Active NPI

Hastings Orthopedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Hastings, MI
National Provider Identifier
1811197593
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HASTINGS ORTHOPEDIC CLINIC
Practice address
840 Cook Rd
Hastings, MI 49058-9616
Phone
(269) 945-4966
Fax
(269) 945-3368
NPI assigned
Jul 20, 2007
Organization subpart
Yes
Parent organization
HASTINGS ORTHOPEDIC CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Kenneth Merriman, MD
Title
Orthopedic Surgeon
Phone
(269) 945-4966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

840 Cook Rd
Hastings, MI 49058-9616

Mailing address

840 Cook Rd
Hastings, MI 49058-9616
Phone (269) 945-4966

Other identifiers 14

IdentifierTypeStateIssuer
101378087MedicaidMI
114206086MedicaidMI
1205872959OtherMIESL NPI
1881639839OtherMIJLH NPI
200005744OtherMIMCR RR
540Z810220OtherMIBCBS DME
200044303OtherMIMCR RR
1346373065OtherMIGROUP NPI
200Z800130OtherMIBCBS GROUP
114316909MedicaidMI
1467480152OtherMIKSM NPI
1811197593OtherMIHOC DME
250011404OtherMIMCR RR
874704973OtherMIMCD DME

National Provider Directory

National Provider Directory
Part of
Hastings Orthopedic Clinic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1811197593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 COOK RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589616",
            "telephone_number": "269-945-4966",
            "fax_number": "269-945-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 COOK RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589616",
            "telephone_number": "269-945-4966",
            "fax_number": "269-945-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS ORTHOPEDIC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HASTINGS ORTHOPEDIC CLINIC",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "269-945-4966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101378087",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114206086",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESL NPI",
            "identifier": "1205872959",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JLH NPI",
            "identifier": "1881639839",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "200005744",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "540Z810220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "200044303",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1346373065",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "200Z800130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114316909",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KSM NPI",
            "identifier": "1467480152",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOC DME",
            "identifier": "1811197593",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "250011404",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD DME",
            "identifier": "874704973",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.