DR. PHILIP ORMOND MERRITT (NPI# 1083696074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083696074 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ORMOND MERRITT |
| Credential | M.D. |
| Practice Address |
1505 Wilson Ter Suite 200 Glendale CA 91206-4071 |
| Mailing Address |
1357 Sugar Loaf Dr La Canada CA 91011-3919 |
| Practice Telephone | 8182468974 |
| Practice Fax Number | 8182467673 |
| Mailing Telephone | 8187907066 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
G46741 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G467410 | 05 | |
| CA | MEDICAL BOARD | G46741 | 01 |
| CA | DEA | AM1490705 | 01 |
| CA | X-RAY SUPERVISOR & OPERAT | RHD 130967 | 01 |
| Street Address |
1505 WILSON TER SUITE 200 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380622 | Donald J Williams Md A Professional Corporation | Specialist | 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4071 | 2005-07-21 |
| 1386001261 | Los Angeles Hematology Oncology Medical Group | Pharmacy | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4071 | 2016-01-22 |
| 1306214242 | Vladimir Aratan Camarce | Nurse Practitioner | 1505 Wilson Ter, Suite 250, Glendale, CA 91206-4071 | 2015-09-09 |
| 1912265166 | Sondra Kay Samples | Audiologist | 1505 Wilson Ter, Glendale, CA 91206-4071 | 2012-04-25 |
| 1396027892 | Gerald M. Pohost, Md, Inc. | Specialist | 1505 Wilson Ter, Suite 150, Glendale, CA 91206-4071 | 2011-09-12 |
| 1245527555 | Isaac Nef | Acupuncturist | 1505 Wilson Ter, Ste 250, Glendale, CA 91206-4071 | 2011-07-07 |
| 1336440940 | Jacob E. Tauber, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4071 | 2010-11-12 |
| 1477867257 | Lynnette Tatosyan, Do Inc | Internal Medicine | 1505 Wilson Ter, 315, Glendale, CA 91206-4071 | 2010-08-04 |
| 1609196245 | Kirk Medical Incorporated | Obstetrics & Gynecology | 1505 Wilson Ter, Suite 220, Glendale, CA 91206-4071 | 2010-06-05 |
| 1780911271 | Ami N. Patel, M.d., Inc. | Internal Medicine | 1505 Wilson Ter, Suite # 155, Glendale, CA 91206-4071 | 2009-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
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| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396716262 | Brent Paul Hansen | Orthopaedic Surgery | 6320 W Union Hills Dr Ste 1800, Glendale, AZ 85308-1372 | 2006-01-30 |
| 1831194448 | Blount Orthopaedic Associates, S.c. | Orthopaedic Surgery | 525 W. River Woods Parkway, Suite 100, Glendale, WI 53212-1010 | 2005-06-20 |
| 1033463252 | Michael S. Cann, M.d., Inc. | Orthopaedic Surgery | 1808 Verdugo Blvd, Suite 112, Glendale, CA 91208-1477 | 2012-11-09 |
| 1922307990 | Philip O Merritt M D A Professional Corporation | Orthopaedic Surgery | 1500 E Chevy Chase Dr, Suite 401, Glendale, CA 91206-4152 | 2011-03-16 |
| 1780666446 | Arthritis Orthopedic and Sports Medical Center | Orthopaedic Surgery | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4071 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316440563 | California Integrated Surgeons, Medical Corporation | Orthopaedic Surgery | 2750 Rohrer Dr, Lafayette, CA 94549-5753 | 2018-03-14 |
| 1457875023 | Adnan Cutuk, M.d. Inc. | Orthopaedic Surgery | 300 S Pierce St Ste 202, El Cajon, CA 92020-4124 | 2017-07-26 |
| 1932526555 | Mark Greenspan | Orthopaedic Surgery | 4955 Van Nuys Blvd Ste 704, Sherman Oaks, CA 91403-1819 | 2014-03-20 |
| 1548527864 | Philip Kiplinger | Orthopaedic Surgery | 19459 Shasta Rd, Apple Valley, CA 92307-4726 | 2012-04-12 |
| 1962778597 | Zachary Lum | Orthopaedic Surgery | Uc Davis Health - Department of Orthopaedic Surgery, 4860 Y Street, Suite 1700, Sacramento, CA 95817 | 2012-03-28 |
| 1508165721 | Michael Pitta | Orthopaedic Surgery | 12 Upper Ragsdale Dr Ste A, Monterey, CA 93940-5730 | 2011-03-28 |
| 1255638151 | Pier Francesco Indelli | Orthopaedic Surgery | 6841 Tunbridge Way, San Jose, CA 95120-2145 | 2011-02-12 |
| 1942510441 | Dilip Tapadiya M.d. Inc | Orthopaedic Surgery | 11170 Warner Ave Suite106, Fountain Valley, CA 92708 | 2010-10-18 |
| 1578886487 | Ricardo Alberto Moncho | Orthopaedic Surgery | 1417 Rutherford Dr, Pasadena, CA 91103-2775 | 2010-03-05 |
| 1598905382 | William Long, Md | Orthopaedic Surgery | 637 S. Lucas Ave. 1st Fl., Los Angeles, CA 90017 | 2009-03-06 |
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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.