MERITAS SURGICAL, INC. (NPI# 1538140926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538140926 |
| Entity Type | Organization |
| Organization Name | MERITAS SURGICAL, INC. |
| Practice Address |
1970 Tamarack Rd Newark OH 43055-1363 |
| Practice Telephone | 7403442452 |
| Practice Fax Number | 7403447305 |
| Mailing Telephone | 7403442452 |
| Mailing Fax Number | 7403447305 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | DR. ALEX D JUAN (PRESIDENT, CORPORATION) |
| Authorized Official Telephone | 7403442452 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 48932 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0205629 | 05 | |
| FEDERAL BLACK LUNG | 1305142 | 01 | |
| TRICARE | 0007114 | 01 | |
| UHC/TRAVLER'S MEDICARE | 020028676 | 01 |
| Street Address |
1970 TAMARACK RD |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247309 | Alex D Juan | Surgery | 1970 Tamarack Rd, Newark, OH 43055-1363 | 2005-10-05 |
| 1861918955 | Meritas Health LLC | Surgery | 1970 Tamarack Rd, Newark, OH 43055-1363 | 2017-08-21 |
| 1770615528 | Carlos B Domingo | Surgery | 1970 Tamarack Rd, Newark, OH 43055-1363 | 2007-03-09 |
| 1235115270 | Charles Lewis Geiger | Family Medicine | 1970 Tamarack Rd, Newark, OH 43055-1363 | 2005-12-21 |
| 1962499822 | Michael D Goodyear II | Surgery | 1970 Tamarack Rd, Newark, OH 43055-1363 | 2005-10-05 |
| 1124015094 | Sherri A Mitchell | Clinical Nurse Specialist | 1970 Tamarack Rd, Newark, OH 43055-1363 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538663869 | Niravkumar M Chauhan | Surgery | 185 S Orange Ave # Msbf508b, Newark, NJ 07103-2757 | 2018-03-21 |
| 1821449604 | Joseph Galloway | Surgery | 140 Bergen Street Acc-d1610, Newark, NJ 07103 | 2016-06-23 |
| 1962844621 | John Daniel Robb | Surgery | 4755 Ogletown Stanton Road Ste 1e50, Ctr for Heart & Vascular Health Christiana Hospital, Newark, DE 19718-2200 | 2013-07-23 |
| 1992083521 | Ioannis Loumiotis | Surgery | 201 Lyons Ave Ste G5, Newark, NJ 07112-2027 | 2011-08-01 |
| 1336434257 | Nicole Goulet | Surgery | 185 S Orange Ave # Msbg514, Newark, NJ 07103-2757 | 2011-06-20 |
| 1366679946 | Adriana I Suarez-ligon | Surgery | 205 South Orange Avenue, F 1214, Newark, NJ 07103 | 2009-06-22 |
| 1285809475 | Jason Evan Davis | Surgery | 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 | 2008-04-28 |
| 1306068788 | Melissa Marie Alvarez-downing | Surgery | 90 Bergen St Fl 7, Newark, NJ 07103-2425 | 2007-05-03 |
| 1447305107 | Nikolay Mindadze | Surgery | 4735 Ogletown Stanton Road, Suite 3301, Medical Arts Pavillion 2, Newark, DE 19713-2067 | 2007-01-24 |
| 1639245350 | Howard Reeves | Surgery | 131 Mcmillen Drive, Newark, OH 43055 | 2006-11-27 |
| Find all providers in NEWARK | ||||
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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.