Active NPI
Merriam Prosthetics Orthotics Inc
- Prosthetic/Orthotic Supplier
- Hood River, OR
National Provider Identifier
1821273087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298541 | Medicaid | OR | |
| 9034166 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930025504 | OR | DME Supplier - Orthotic Personnel | 3971620329 | Practice locations: Hood River, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Merriam Prosthetics Orthotics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Hood River, OR
- NPI 1447373154
-
- Orthotist
- Hood River, OR
- NPI 1912125261
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.