Active NPI
Laura Stansell Merriman, MD
- Pediatric Urology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 7873
- Practice address
- 3841 Piper St
Suite T300
Anchorage, AK 99508-4624 - Phone
- (907) 563-3103
- Fax
- (907) 561-1862
- NPI assigned
- Feb 25, 2007
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 66423 | GA | |
| Pediatric Urology Physician | 2088P0231X | 066423 | GA | |
| Pediatric Urology Physician | 2088P0231X | 7873 | AK | Primary |
Addresses
Primary practice location
3841 Piper St
Suite T300
Anchorage, AK 99508-4624
Mailing address
3841 Piper St
Suite T300
Anchorage, AK 99508-4624
Phone (907) 563-3103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003123294A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Texas Tech University Health Science Center School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2925 Debarr Rd
Suite 250
Anchorage, AK 99508-2959
Phone (907) 563-3103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66423 | GA | MD | Urology Physician |
| 7873 | AK | MD | Pediatric Urology Physician |
| 066423 | GA | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Urology, LLC | Urology | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients |
Locations
2925 Debarr Rd
Ste 250
Anchorage, AK 99508
Phone (907) 563-3103
3841 Piper St
Ste T300
Anchorage, AK 99508
Phone (907) 563-3103
4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1110
- lsmerriman@direct.anthc.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Anchorage, AK
- NPI 1073549507
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1902932023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 PIPER ST",
"address_2": "SUITE T300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084624",
"telephone_number": "907-563-3103",
"fax_number": "907-561-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 PIPER ST",
"address_2": "SUITE T300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084624",
"telephone_number": "907-563-3103",
"fax_number": "907-561-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIMAN",
"first_name": "LAURA",
"middle_name": "STANSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "66423",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "GA",
"license": "066423",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "AK",
"license": "7873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003123294A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.