DR. KEITH D MERRILL (NPI# 1639154651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639154651 |
| Entity Type | Individual |
| Full Name | DR. KEITH D MERRILL |
| Credential | MD |
| Practice Address |
255 E Bay St Charleston SC 29401-2632 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8438533474 |
| Practice Fax Number | 8438533500 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 15251 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 152514 | 05 | |
| SC | RAILROAD MEDICARE ID-RSFPN | P00834846 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326181058 | Keith Allen Merrill | Optometrist | 3101 Shannon Rd, Durham, NC 27707-3571 | 2007-02-14 |
| Street Address |
255 E BAY ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871589697 | Harry Peter Rudolph Iv | Orthopaedic Surgery | 255 E Bay St, Charleston, SC 29401-2632 | 2005-09-27 |
| 1073978615 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 255 E Bay St, Charleston, SC 29401-2632 | 2015-12-28 |
| 1407185424 | Roper Saint Francis Physicians Network | Podiatrist | 255 E Bay St, Charleston, SC 29401 | 2009-12-22 |
| 1659555258 | William Joseph Carroll IIi | Orthopaedic Surgery | 255 E Bay St, Charleston, SC 29401-2632 | 2007-12-19 |
| 1467567081 | Jeffrey Ray Armstrong | Podiatrist | 255 E Bay St, Charleston, SC 29401-2632 | 2006-08-21 |
| 1588673966 | Brett H Young | Orthopaedic Surgery | 255 E Bay St, Charleston, SC 29401 | 2006-08-05 |
| 1073555959 | John J Vollmer | Physician Assistant | 255 E Bay St, Charleston, SC 29401-2632 | 2006-06-12 |
| 1255381083 | Charleston Bone & Joint Pa | Podiatrist | 255 E Bay St, Charleston, SC 29401-2632 | 2006-05-11 |
| 1154306181 | Brian G Ralph | Podiatrist | 255 E Bay St, Charleston, SC 29401-2632 | 2005-12-13 |
| 1023093317 | Robert B W Lowery | Orthopaedic Surgery | 255 E Bay St, Charleston, SC 29401-2632 | 2005-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1447489828 | William Mcneel Browning IIi | Orthopaedic Surgery | 3100 Maccorkle Seave 900, Charleston, WV 25304-1223 | 2009-07-07 |
| 1609097153 | Blake L Ohlson | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr Ste 200, Charleston, SC 29414-5742 | 2007-05-01 |
| 1083780373 | Paul Bachwitt | Orthopaedic Surgery | 10 Courtney Drive, Charleston, WV 25304-2699 | 2006-11-28 |
| 1154419794 | Michael Allen Maginnis | Orthopaedic Surgery | 2 Blackburn Cir, Charleston, SC 29407-3415 | 2006-10-10 |
| 1063513554 | Alexander D. Rosenstein | Orthopaedic Surgery | 415 Morris Street, Suite 201, Charleston, WV 25301 | 2006-09-26 |
| 1295758308 | John A Mcfadden II | Orthopaedic Surgery | 1483 Tobias Gadson Blvd Ste 202, Charleston, SC 29407-4796 | 2006-07-26 |
| 1598786253 | Tony C Majestro | Orthopaedic Surgery | 415 Morris Street, Ste 104, Charleston, WV 25301 | 2006-07-21 |
| 1811954753 | Parkwood Orthopaedic Clinic L.L.C. | Orthopaedic Surgery | 1249 Savannah Hwy, Charleston, SC 29407-7826 | 2006-04-26 |
| 1609844554 | Frederic H Pollock | Orthopaedic Surgery | 415 Morris St Ste 201, Charleston, WV 25301-1853 | 2006-03-08 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
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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.