Organization Active NPI

Philip O Merritt M D a Professional Corporation

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Glendale, CA
National Provider Identifier
1922307990
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
PHILIP O MERRITT M D A PROFESSIONAL CORPORATION
Practice address
1500 E Chevy Chase Dr
Suite 401
Glendale, CA 91206-4152
Phone
(818) 863-4446
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Philip O Merritt, M.D.,
Title
Orthopedic Surgeon
Phone
(818) 863-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X Primary

Addresses

Primary practice location

1500 E Chevy Chase Dr
Suite 401
Glendale, CA 91206-4152

Mailing address

2816 Rowena Ave
Suite 4
Los Angeles, CA 90039-4108
Phone (818) 243-0477

National Provider Directory

National Provider Directory

Locations

2816 Rowena Ave
Ste 4
Los Angeles, CA 90039

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1922307990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 ROWENA AVE",
            "address_2": "SUITE 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900394108",
            "telephone_number": "818-243-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR",
            "address_2": "SUITE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064152",
            "telephone_number": "818-863-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP O MERRITT M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "818-863-4446",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.