Active NPI
Dana A Merrithew, MD
- Internal Medicine Physician
- Plymouth, NH
National Provider Identifier
1871522425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6365
- Practice address
- 103 Boulder Point Drive
Plymouth, NH 03264-3168 - Phone
- (603) 536-1881
- Fax
- (603) 238-2198
- NPI assigned
- Jul 3, 2006
- Last updated
- Dec 4, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6365 | NH | Primary |
Addresses
Primary practice location
103 Boulder Point Drive
Plymouth, NH 03264-3168
Mailing address
PO Box 706
Plymouth, NH 03264-0706
Phone (314) 989-0300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100949Y0NH01 | Other | NH | ANTHEM |
| 81110949 | Medicaid | NH | |
| 42758 | Other | NH | CIGNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000 | NH | MD | Clinical Social Worker |
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": "1449187200000",
"number": "1871522425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 706",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032640706",
"telephone_number": "314-989-0300",
"fax_number": "603-238-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 BOULDER POINT DRIVE",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032643168",
"telephone_number": "603-536-1881",
"fax_number": "603-238-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITHEW",
"first_name": "DANA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "6365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0100949Y0NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81110949",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "42758",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.