DR. BRUCE J. MERKIN (NPI# 1780667907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780667907 |
| Entity Type | Individual |
| Full Name | DR. BRUCE J. MERKIN |
| Credential | M.D. |
| Practice Address |
527 N Meridian Rd Youngstown OH 44509 |
| Mailing Address |
527 N Meridian Rd Youngstown OH 44509-1227 |
| Practice Telephone | 3307970070 |
| Mailing Telephone | 3307970070 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
35-086596 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Severance Cir, Suite 803, Cleveland Heights, OH 441181531 | 2162914916 |
| Street Address |
527 N MERIDIAN RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203765 | Kenneth E Smith | Nurse Practitioner | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2005-05-24 |
| 1417564881 | Alysa M Vigus | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-09-29 |
| 1144836214 | Tabitha L Gatrell | Community/Behavioral Health | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-09-23 |
| 1609489624 | Mason G Edmunds | Prevention Professional | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-08-28 |
| 1154960433 | Kimberly A Curl | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-01-03 |
| 1629616149 | Angila J Anderson | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-12-16 |
| 1891331112 | Keona White | Counselor | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-11-21 |
| 1861035354 | William V Silverstone | Social Worker | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-10-28 |
| 1407404064 | Lindsey Kay Townsend | Social Worker | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-27 |
| 1760039358 | Dawn Fantone | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382721 | Briann C Little | Home Health | 241 S Osborn Ave, Youngstown, OH 44509 | 2020-09-23 |
| 1639794498 | Drelynn Jacobs | Home Health Aide | 216 S Schenley Ave, Youngstown, OH 44509 | 2020-06-08 |
| 1619596707 | Adrian Leondra Allen | Technician | 34 S. Hazelwood Ave, Youngstown, OH 44509 | 2020-04-09 |
| 1851811152 | Grace Services, Inc. | Public Health or Welfare | 715 N Meridian Road, Youngstown, OH 44509 | 2017-06-27 |
| 1093260689 | Laticia Ruberto | Counselor | 527 N, Meridian Rd, Youngstown, OH 44509 | 2016-08-24 |
| 1154705275 | Debbie Taylor | Counselor | 527 N. Meridian Road, Youngstown, OH 44509 | 2015-07-18 |
| 1043552680 | Robinette Patrice Dawson | Home Health | 218 S Portland Ave, Youngstown, OH 44509 | 2013-03-21 |
| 1194097006 | Jonnelle L Ballard | Licensed Practical Nurse | 970 S Belle Vista Ave, Youngstown, OH 44509 | 2012-02-08 |
| 1740565548 | Elias Emile Boulos Jr. | Pharmacist | 40 North Meridian Rd, Youngstown, OH 44509 | 2011-10-13 |
| 1508067356 | Ruby R Grover | Social Worker | 527 N Meridian Road, Youngstown, OH 44509 | 2007-05-30 |
| Find all providers in zip 44509 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916330 | First Horizon Solutions, LLC | Internal Medicine | 3730 Tabs Dr Ste 102, Uniontown, OH 44685-9562 | 2017-07-27 |
| 1558800193 | Cleanslate Medical Group of Ohio LLC | Internal Medicine | 4488 W Broad St Ste 3, Columbus, OH 43228-5610 | 2017-02-15 |
| 1841238094 | Christopher T. Meyer | Internal Medicine | 75 Hospital Dr Ste 350, Athens, OH 45701-2867 | 2006-06-02 |
| 1417933490 | James Frederick Guenther | Internal Medicine | 1319 E Main St, Lancaster, OH 43130-4005 | 2005-12-21 |
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1639170509 | Patrick Bruno | Internal Medicine | 3535 Lee Rd, Shaker Heights, OH 44120-5122 | 2005-08-02 |
| 1649279373 | Anthony Dean Agra | Internal Medicine | 547 E 11th Ave, Columbus, OH 43211-2603 | 2005-07-15 |
| 1245233345 | Parag J Patel | Internal Medicine | 446 Morgan St, Cincinnati, OH 45206-2348 | 2005-05-23 |
| 1790382752 | Keyona Shine | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-10-02 |
| 1902413677 | Stacey Whitesel | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44509 |
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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.