Active NPI
Sanford Sheldon Merkin, DPM
- Podiatrist
- Sylvania, OH
National Provider Identifier
1932107265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-002051
- Practice address
- 7640 Sylvania Ave
Suite C-2
Sylvania, OH 43560-9729 - Phone
- (419) 882-7828
- Fax
- (419) 824-0026
- NPI assigned
- Jul 11, 2005
- Last updated
- Jul 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-002051 | OH | Primary |
Addresses
Primary practice location
7640 Sylvania Ave
Suite C-2
Sylvania, OH 43560-9729
Mailing address
7640 Sylvania Ave
Suite C-2
Sylvania, OH 43560-9729
Phone (419) 882-7828
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0550149 | Medicaid | OH | |
| 00641 | Other | OH | PARAMOUNT |
| 480021355 | Other | OH | MEDICARE RAILROAD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2051 | OH | MD | Psychologist |
| 36-002051 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Ohio Professional PC | Past | Accepting new patients |
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.
-
- Podiatrist
- Sylvania, OH
- NPI 1467624817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1932107265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7640 SYLVANIA AVE",
"address_2": "SUITE C-2",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435609729",
"telephone_number": "419-882-7828",
"fax_number": "419-824-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7640 SYLVANIA AVE",
"address_2": "SUITE C-2",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435609729",
"telephone_number": "419-882-7828",
"fax_number": "419-824-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKIN",
"first_name": "SANFORD",
"middle_name": "SHELDON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-002051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0550149",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "00641",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480021355",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
- Adrian McMillan, LPC
- Medpro Medical Imaging (CT MRI Associations)
- Megaone Care LLC
- Aaron Paul Meller, LPTA
- Mending Hearts Counseling Center, LLC (Mending Hearts Counseling Center)
- Michigan Medical Laboratory LLC (dba National Laboratory)
- Nanette Mick, D.D.S.
- Midwest Cardiovascular Consultants LLC
- Midwest Cardiovascular Consutlants, LLC
- Midwest Emergency Associates-Sylvania, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.