MICHAEL MERRILL (NPI# 1013208933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013208933 |
| Entity Type | Individual |
| Full Name | MICHAEL MERRILL |
| Credential | M.D. |
| Practice Address |
501 S Sharon Amity Rd Ste 300 Charlotte NC 28211 |
| Mailing Address |
501 S Sharon Amity Rd Ste 300 Charlotte NC 28211-0035 |
| Practice Telephone | 7043772424 |
| Practice Fax Number | 7043772687 |
| Mailing Telephone | 7043772424 |
| Mailing Fax Number | 7043772687 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2014-00207 | NC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 172813 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1013208933 | 05 | |
| NC | BCBS | 186BF | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Blythe Blvd, Meb 3, Charlotte, NC 282035812 | 7043553658 | |
| Forsyth Medical Center -emergency Room, 3333 Silas Creek Pkway, Winston Salem, NC 271033013 | 8008995757 | |
| Clemmons Medical Center-emergency Room, 6915 Village Medical Circle, Clemmons, NC 270128002 | 8008995757 | |
| Kernersville Medical Center-emergency Dept, 1750 Kernersville Medical Pkwy, Kernersville, NC 272847146 | 3148218055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558452334 | Michael Alan Merrill | Marriage & Family Therapist | 3105 E Skelly Drive, Suite 102, Tulsa, OK 74105-6347 | 2006-09-27 |
| 1558752519 | Michael D Merrill | Pharmacist | 180 S Holmes Ave, Idaho Falls, ID 83401-3945 | 2015-02-12 |
| 1093845448 | Michael A Merrill | Social Worker | 112 N Broad St, Philadelphia, PA 19102-1510 | 2007-03-06 |
| 1629146386 | Michael H. Merrill | Psychologist | 1 E Delaware Pl, Suite 304, Chicago, IL 60611-4962 | 2006-12-01 |
| 1013002567 | Michael Douglas Merrill | Counselor | 1601 Kirkwood Highway, Wilmington, DE 19805 | 2006-10-03 |
| 1649205782 | Michael D Merrill | Internal Medicine | 565 Abbott Rd, @ Mercy Hospital of Buffalo, Buffalo, NY 14220-2039 | 2006-07-11 |
| Street Address |
501 S SHARON AMITY RD STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361246 | Douglas L Boertje | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2005-07-26 |
| 1568092989 | Jillian Marie Rengel | Nurse Practitioner | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2020-01-24 |
| 1043840721 | Johanna Isabelle Rossitch | Physician Assistant | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2020-01-22 |
| 1952875478 | Whitney Kristine Lloyd | Nurse Practitioner | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2019-01-17 |
| 1902370653 | Stephen Logan Groves | Physician Assistant | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2019-01-16 |
| 1639604390 | Kyle Francis Grimaldi | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2017-05-01 |
| 1558892604 | Christopher Allen Gardner | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2017-03-21 |
| 1194264382 | Ross Mckelvey Williams | Physician Assistant | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2017-02-21 |
| 1194189886 | Johanna Elizabeth Kreafle | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 | 2016-04-08 |
| 1164884961 | Aaron Michael Blackshaw | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
| 1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
| 1780048348 | Cornelius Powell IIi | Emergency Medicine | Gme1000 Blythe Blvd., Meb, Suite 157, Carolinas Medical Center, Charlotte, NC 28203-2861 | 2016-04-11 |
| 1417185125 | Anil Kumar Chhabra | Emergency Medicine | 14714 Jockeys Ridge Dr, Charlotte, NC 28277-3717 | 2009-07-01 |
| 1669608709 | Anthony L Fox | Emergency Medicine | 8800 N Tyron St, Carolinas Medical Center -university, Charlotte, NC 28262 | 2009-06-03 |
| 1821250697 | Christopher Kirt Kessler | Emergency Medicine | 1133 Metropolitan Ave Unit 618, Charlotte, NC 28204-3401 | 2008-07-01 |
| 1265606784 | Michael Craig Flanders | Emergency Medicine | 8800 North Tryon St, Emp, Charlotte, NC 28262 | 2008-04-16 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.