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MERITUS MEDICAL CENTER INC NPI 1295782910


NPI Information

NPI: 1295782910
Provider Name: MERITUS MEDICAL CENTER INC

Doing Business As: MERITUS ENDOCRINOLOGY

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 21D1073069

Address:
11110 MEDICAL CAMPUS RD
SUITE 108
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 714-4041
Get Directions

MERITUS MEDICAL CENTER INC is an endocrinology and diabetes and metabolism internal medicine in Hagerstown, MD. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MERITUS MEDICAL CENTER INC NPI is 1295782910. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Meritus Endocrinology.

The provider's business location address is:

11110 MEDICAL CAMPUS RD
SUITE 108
HAGERSTOWN, MD
ZIP 21742-700
Phone: (301) 714-4041
Fax: (301) 714-4351

The provider's authorized official is Vickie L Leach .
The authorized official title is Business Manager and has the following contact phone number (301) 714-4041.

The CLIA number assigned to this NPI record is 21D1073069 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 7/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1006XDietitian, RegisteredNutrition, MetabolicD02116MARYLANDNo
2133VN1006XDietitian, RegisteredNutrition, MetabolicD02101MARYLANDNo
3363LF0000XNurse PractitionerFamilyR175330MARYLANDNo
4163WD0400XRegistered NurseDiabetes EducatorR072839MARYLANDNo
5163WD0400XRegistered NurseDiabetes EducatorR075263MARYLANDNo
6163WD0400XRegistered NurseDiabetes EducatorR082255MARYLANDNo
7207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismD0042030MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K287MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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