MR. BENJAMIN GAVIN MERCKLE


Address: 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639
Phone: 8508632153

MR. BENJAMIN GAVIN MERCKLE (NPI# 1639514706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639514706
Entity Type Individual
Full Name MR. BENJAMIN GAVIN MERCKLE
Credential C.S.F.A
Practice Address 1034 Mar Walt Dr
Fort Walton Beach
FL 32547-6639
Practice Telephone 8508632153
Mailing Telephone 8508632153
Enumeration Date 2013-05-02
Last Update Date 2014-06-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1034 MAR WALT DR
City FORT WALTON BEACH
State FL
Zip Code 32547-6639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235133646 Jason W Thackeray Orthopaedic Surgery 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6645 2005-06-13
1013535954 Ruben Jonathan Ruiz Physical Therapist 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 2020-07-07
1770969875 Mark Graeber Podiatrist 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 2015-07-31
1467701862 James F. Watt Do Pa Orthopaedic Surgery 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 2012-08-31
1396072765 The Spine Institute At Orthopaedic Associates Pl Orthopaedic Surgery 1034 Mar Walt Dr, Suite 310, Fort Walton Beach, FL 32547-6645 2009-11-05
1467687350 Thomas Arthur Fusco Podiatrist 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 2009-05-20
1144462110 Michael L Shawbitz M D P A Psychiatry & Neurology 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 2009-04-06
1518108588 Dale Thomas Landry Jr. Orthopaedic Surgery 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 2009-03-20
1770745960 Robert Francis Hofmann Ophthalmology 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 2008-06-28
1700087897 James F Watt Orthopaedic Surgery 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 2007-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255944955 Theresa Ann Morvay Behavior Technician 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 2020-08-24
1588295422 Emily Ann Glossop Nurse Practitioner 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 2020-01-29
1225669443 Elizabeth Rogers Nagengast Physician Assistant 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 2020-01-27
1497254791 Carmen Alston Nurse Practitioner 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 2018-02-02
1871004960 Center for Neuropsychological Services Cns Clinical Neuropsychologist 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 2017-10-17
1194235648 Robin Wray Speech-Language Pathologist 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 2017-10-10
1285007989 Dynamic Pain & Wellness Pllc Pain Medicine 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 2015-11-04
1013392810 Terry Abbott Social Worker 648 Overbrook Dr, Fort Walton Beach, FL 32547 2015-07-22
1083024673 Emily Lohr Physical Therapy Assistant 2000 Principle Ln, Ft. Walton Beach, FL 32547 2014-05-05
1831526102 Laurie Ann Schweppe Nurse Practitioner 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 2013-10-02
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Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679871313 Alicia Marie Colon Specialist/Technologist, Other 1025 Beal Pkwy Nw, Suite C, Fort Walton Beach, FL 32547-1446 2011-03-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275349 Ydalina Inmaculada Coste Jimenez Specialist/Technologist, Other 6817 College Ct Apt 103, Davie, FL 33317-7169 2020-11-07
1508467374 Anthony Arias Bravo Specialist/Technologist, Other 2380 Fairmont Ave, Miramar, FL 33025-3818 2020-11-06
1831798206 Yanosit Garcia Specialist/Technologist, Other 7945 W 31st Ct, Hialeah, FL 33018-3852 2020-10-18
1043819485 Vivian Martin Specialist/Technologist, Other 3401 Sw 10th St Apt 4, Miami, FL 33135-4431 2020-10-17
1891394243 Tami Coromoto Fort Specialist/Technologist, Other 3433 Garden Ave Apt 4, Miami Beach, FL 33140-3847 2020-10-17
1144829581 Diana Carolina Villalba Pena Specialist/Technologist, Other 555 S Luna Ct Apt 111, Hollywood, FL 33021-7564 2020-10-17
1871192211 Luis Enrique Perez Sanchez Specialist/Technologist, Other 15411 Sw 77th Circle Ln Apt 205, Miami, FL 33193-1823 2020-10-17
1598376493 Melissa Croskey Specialist/Technologist, Other 7271 Bucks Ford Dr, Riverview, FL 33578-8379 2020-08-13
1114545498 Genesis Navas Specialist/Technologist, Other 1330 Coral Way Ste 306, Miami, FL 33145-2945 2020-07-13
1629696786 Indhira Y Pena Specialist/Technologist, Other 20 Commodore Dr Apt 114, Plantation, FL 33325-2676 2020-07-06
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Competitor

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City FORT WALTON BEACH
Zip Code 32547

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Dataset Information

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.

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