Organization Active NPI

Merriam Prosthetics Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Hood River, OR
National Provider Identifier
1821273087
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MERRIAM PROSTHETICS ORTHOTICS INC
Practice address
1204 13TH St
Hood River, OR 97031-1612
Phone
(541) 386-4134
Fax
(541) 386-4155
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Thomas Merriam S, C.PED.
Title
Owner
Phone
(541) 386-4134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1204 13TH St
Hood River, OR 97031-1612

Mailing address

1204 13TH St
Hood River, OR 97031-1612
Phone (541) 386-4134

Other identifiers 2

IdentifierTypeStateIssuer
298541MedicaidOR
9034166MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930025504 OR DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3971620329 Practice locations: Hood River, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Merriam Prosthetics Orthotics1204 13TH St, Hood River, OR 97031-1612(541) 386-4134 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1204 13th St
Hood River, OR 97031
Phone (541) 386-4134

Practitioners & affiliated clinicians

Practitioners 2

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1821273087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311612",
            "telephone_number": "541-386-4134",
            "fax_number": "541-386-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311612",
            "telephone_number": "541-386-4134",
            "fax_number": "541-386-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIAM PROSTHETICS ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MERRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-386-4134",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298541",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9034166",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.